Chikungunya

Chikungunya

National Organization for Rare Disorders, Inc.

Important

It is possible that the main title of the report Chikungunya is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.

Synonyms

  • Arbovirus A Chikungunya Type
  • CHIK
  • CK

Disorder Subdivisions

  • None

General Discussion

Chikungunya is a rare viral infection transmitted by the bite of an infected mosquito. It is characterized by a rash, fever, and severe joint pain (arthralgias) that usually lasts for three to seven days. Because of its effect on the joints, Chikungunya has been classified among the Arthritic Viruses. It primarily occurs in tropical areas of the world.

Symptoms

The early symptoms of Chikungunya include fever, headache, and joint pain (arthralgias) that may be so severe that they may be disabling. The knees, elbows, wrists, ankles, and/or fingers are generally effected. Joint pain increases with movement and is worse in the morning. However, it may take several weeks before the symptoms improve. Chikungunya is not associated with permanent joint damage.



Other symptoms may include abnormal sensitivity to light (photophobia), sore throat, lack of appetite (anorexia), and vomiting. Backache and rash on the face and neck are also common in people with Chikungunya. Occasionally the membranes that line the eyes may become inflamed (conjunctivitis) and lymph glands may become swollen (lymphadenopathy). The fever usually subsides before the 10th day.

Causes

Chikungunya is an infectious tropical disease caused by a virus that belongs to the group of A arboviruses. It is transmitted by various species of mosquitoes. Monkeys may also be infected with this virus. Some cases of this infection appear to have occurred through casual human to human contact, but it is not known how it is transmitted among humans.

Affected Populations

Chikungunya is a viral disease that affects males and females in equal numbers. It primarily affects children and young adults in Africa, Southeast Asia, and India. A large outbreak of Chikungunya occurred in Tanganyika, Africa in 1953. This disorder is rare outside of tropical areas of the world.

Standard Therapies

The diagnosis of Chikungunya may be confirmed by a specialized blood test that detects immune responses to the virus (ELISA test). The symptoms of Chikungunya improve spontaneously after several weeks. There is no specific treatment. However, bed rest and antiinflammatory medications (i.e., ibuprofen) may be useful. As with other viral diseases, antibiotics are not effective in treating this disease.

Investigational Therapies

Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. All studies receiving U.S. government funding, and some supported by private industry, are posted on this government web site.



For information about clinical trials being conducted at the NIH Clinical Center in Bethesda, MD, contact the NIH Patient Recruitment Office:



Tollfree: (800) 411-1222

TTY: (866) 411-1010

Email: prpl@cc.nih.gov



For information about clinical trials sponsored by private sources, contact:

www.centerwatch.com



Research is being conducted to develop a live attenuated vaccine that would protect against Chikungunya. For more information about these disorders, contact the World Health Organization (WHO) listed in the Resources section below.

References

TEXTBOOKS

Bennett JC, Plum F. Eds. Cecil Textbook of Medicine. 20th ed. W.B. Saunders Co., Philadelphia, PA; 1996:1806t, 1809.



Beers MH, Berkow R., eds. The Merck Manual, 17th ed. Whitehouse Station, NJ: Merck Research Laboratories; 1999:1304t.



Markoff L. Alphaviruses. In: Mandell GL, Bennett JE, Dolan R. Eds. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. 4th ed. Churchill Livingstone Inc. New York, NY; 1995:1455-59.



JOURNAL ARTICLES

Khan aH, Morita K, Parquet Md Mdel C, et al. Complete nucleotide sequence of chikungunya virus and evidence for an internal polyadenylation site. J Gen Virol. 2002;83:3075-84.



Mackenzie JS, Chua KB, Daniels PW, et al. Emerging viral diseases of Southeast Asia and the Western Pacific. Emerg Infect Dis. 2001;7(3 Suppl):497:504.



Pile JC, Henchal EA, Christopher GW, et al. Chikungunya in a North American traveler. J Travel Med. 1999;6:137-39.



McClain DJ, Pittman PR, Ramsburg HH, et al. Immunological interference from sequential administration of live attenuated alphavirus vaccines. J Infect Dis. 1998;177:634-41.



Adebajo AO, Rheumatic manifestations of tropical diseases. Curr Opin Rheumatol. 1996;8:85-89.



McGill PE. Viral infections: alpha-viral arthropathy. Baillieres Clin Rheumatol. 1995;9:145-50.



Chikungunya Fever among U.S. Peace Corps Volunteers - Republic of the Philippines. MMWR Weekly. 1986;35:573-74.



FROM THE INTERNET

Chikungunya (S27): Alphavirus. nd. 9pp.

www.pasteur.fr/recherche/banques/CRORA/..



Tropical diseases: Chikungunya. nd. 1p.

http://members.aol.com/Lotharwolf/krank/tropen



Chikungunya Virus. nd. 1p.

www.stanford.edu/~megans311/chikungunya.html



Chikungunya fever: essential data. 1999:3pp.

www.cbwinfo.com/Biological/Pathogens/CHIK.html

Resources

Centers for Disease Control and Prevention

1600 Clifton Road NE

Atlanta, GA 30333

Tel: (404)639-3534

Tel: (800)232-4636

TDD: (888)232-6348

Email: cdcinfo@cdc.gov

Internet: http://www.cdc.gov/



NIH/National Institute of Allergy and Infectious Diseases

Office of Communications and Government Relations

6610 Rockledge Drive, MSC 6612

Bethesda, MD 20892-6612

Tel: (301)496-5717

Fax: (301)402-3573

Tel: (866)284-4107

TDD: (800)877-8339

Email: ocpostoffice@niaid.nih.gov

Internet: http://www.niaid.nih.gov/



World Health Organization (WHO)

Avenue Appia 20

Geneva 27, 1211

Switzerland

Tel: 41227912111

Fax: 41227913111

Internet: http://www.who.int/en/



Genetic and Rare Diseases (GARD) Information Center

PO Box 8126

Gaithersburg, MD 20898-8126

Tel: (301)251-4925

Fax: (301)251-4911

Tel: (888)205-2311

TDD: (888)205-3223

Internet: http://rarediseases.info.nih.gov/GARD/



For a Complete Report

This is an abstract of a report from the National Organization for Rare Disorders, Inc.® (NORD). Cigna members can access the complete report by logging into myCigna.com. For non-Cigna members, a copy of the complete report can be obtained for a small fee by visiting the NORD website. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational treatments (if available), and references from medical literature. For a full-text version of this topic, see http://www.rarediseases.org/search/rdblist.html.

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