Neonatal chikungunya with facial pigmentation and encephalitis

Ajeet Kumar Yadav, Vivek Dewan, Ramkesh Meena, Bhavika Y. M.


Neonatal Chikungunya infection in postnatal period is a rare entity. Clinical presentation varies from a simple febrile illness with or without centrofacial hyperpigmentation to symptoms like poor feeding, lethargy, apnea and seizures. Here, we report a case where chikungunya infection was suspected and confirmed by IgM serology, which was positive in the baby and negative in mother.


Chikungynya, Hyperpigmentation

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Kalantri SP, Joshi R, Riley LW. Chikungunya epidemic: an Indian perspective. Natl Med J India. 2006;19(6):315-22.

Ntional Guideline for Clinical Management of Chickungunya. New Delhi; Available at Accessed on August 2016.

Taksande A, Vilhekar KY. Neonatal Chikungunya infection. J Prev Infect Control. 2015;1(1:8).

Arpino C, Curatolo P, Rezza G. Chikungunya and the nervous system: what we do and do not know. Rev Med Virol. 2009;19(3):121-9.

Mangalgi SM, Shenoy S, Maralusiddappa PG, Aprameya IV. Neonatal chikungunya: a case series. J Pediatr Sci. 2011;3:e74.

Chusri S, Siripaitoon P, Hirunpat S, Silpapojakul K. Case reports of neuro-Chikungunya in southern Thailand. Am J Trop Med Hyg. 2011;85(2):386-9.

Schuffenecker I, Iteman I, Michault A, Murri S, Frangeul L, Vaney MC, et al. Genome microevolution of chikungunya viruses causing the Indian Ocean outbreak. PLoS Med. 2006;3(7):e263.

Tournebize P, Charlin C, Lagrange M. Neurological manifestations in Chikungunya: about 23 cases collected in Reunion Island. Rev Neurol (Paris). 2009;165(1):48-51.