A rare presentation of chikungunya in an infant

Authors

  • Vindhiya K. Department of Paediatrics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India
  • Selvendran C. Department of Paediatrics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20192788

Keywords:

Aedes aegypti, Chikungunya, Skin manifestations

Abstract

Chikungunya is an arboviral disease caused by chikungunya virus which belongs to the genus Alpha virus and Togaviridae. It is transmitted by Aedes aegypti and Aedes albopictus mosquitoes. The important reasons for the outbreaks are genetic adaptation of the virus and adaptation of the mosquitoes to the cold climate which lead to increased infectivity and dissemination. The clinical manifestations of disease in infants are different from that of older children and adults. Various dermatological manifestations of chikungunya include generalized erythema, maculopapular rash, vesicular lesions, hyper pigmentation and peeling of skin. Authors hereby report a case of 10 month old infant with fever and vesiculobullous lesion which was diagnosed as chikungunya infection.

References

Lenglet Y, Barau G, Robillard PY, Randrianaivo H, Michault A, Bouvaret A, et al. Chikungunya infection in pregnancy: Evidence for intrauterine infection in pregnant women and vertical transmission in the parturient. Survey of the Reunion Island outbreak. J Gynecol Obstet Biol Reprod. 2006;35(6):578-83.

Shah KV, Gibbs CJ, Banerjee G. Virological investigation of the epidemic of haemorrhagic fever in Calcutta: isolation of three strains of Chikungunya virus. Indian J Med Res. 1964;52:676-83.

Padbidri VS, Gnaneswar TT. Epidemiological investigations of chikungunya epidemic at Barsi, Maharastra state, India. J Hyg Epidemiol Microbiol Immunol. 1979;23(4):445-51.

Singh N, Chandrasekhar L, Konda D, Thappa DM, Srinivas BH, Dhodapkar R. Vesiculobullous viral exanthema due to chikungunya in an infant. Indian Dermatol Online J. 2014;5:S2:119-20.

Ray P, Ratagiri VH, Kabra SK, Lodha R, Sharma S, Sharma BS, et al. Chikungunya infection in India: results of a prospective hospital based multi-centric study. PLoS One. 2012;7(2):e30025.

Swaroop A, Jain A, Kumhar M, Parihar N, Jain S. Chikungunya fever. J Indian Acad Clin Med. 2007;8(2):164-8.

Joseph J, Shibi C, Letha S, Jayakumar C, Gopinathan KM. Clinical profile of chikungunya in infants. Indian J Pediatr. 2009;76(2):151-5.

Hochedez P, Jaureguiberry S, Dehryne M, Bossi P, Hausfuter P, Brucker G, et al. Chikungunya infection in travelers. Emerging infectious diseases. 2006;12:1565-6.

Genderen FT, Krishnadath I, Sno R, Grunberg MG, Zijlmans W, Adhin MR. First chikungunya outbreak in Suriname; clinical and epidemiological features. Plos Negl Trop Dis. 2016;10:e0004625.

Raghavendhar BS, Ray P, Ratagiri VH, Sharma BS, Kabra SK, Lodha R. Evaluation of chikungunya virus infection in children from India during 2009-2010: a cross sectional observational study. J Med Virol. 2016;88(6):923-30.

Mohan A. Chikungunya fever: clinical manifestations and management. Indian J Med Res. 2006;124(5):471-4.

Downloads

Published

2019-06-27

Issue

Section

Case Reports