Chikungunya

Chikungunya


Chikungunya virus (CHIKV)

  • Family: Togaviridae 
  • Genus:  Alphavirus
Morphology:
  • Positive-sense single-stranded RNA virus
  • Small, spherical viruses with envelopes
Other Important Facts:
  • An insect-borne virus

Closely related to:

  • the O’nyong’nyong virus
  • the Ross River virus in Australia
  • the viruses that cause eastern equine encephalitis and western equine encephalitis.

Transmission:

  • Transmitted to humans by virus-carrying Aedes mosquitoes (generally Aedes aegypti mosquitoes).
  • Chikungunya Fever is contracted via a human-mosquito-human pathway 
  • The main virus reservoirs are monkeys, but other species can also be affected, including humans.
  • Chikungunya is emerging infection in India .
Incubation Period:
  • Two to four days.
Clinical Manifestations:
  • Illness with symptoms similar to dengue fever.
  • The acute febrile phase of the illness lasts only two to five days. 

Symptoms of the disease include:

  • Fever
  • A petechial or maculopapular rash of the trunk and occasionally the limbs
  • Arthralgia or arthritis affecting multiple joints.
  • The pain associated with CHIKV infection of the joints persists for weeks or months.
  • Typically, the fever lasts for two days and then ends abruptly.
  • Ocular inflammation may present as iridocyclitis and have retinal lesions as well.
  • Pedal edema (swelling of legs) is observed in many patients.

Diagnosis:

  • RT-PCR
  • Vrus isolation
  • Serological tests.
  • Virus isolation provides the most definitive diagnosis but takes 1-2 weeks for completion.

Exam Important

  • Chikungunya is emerging infection in India .
  • Belongs to 
    • Family: Togaviridae 
  • The main virus reservoirs are monkeys, but other species can also be affected, including humans.
  • Transmitted to humans by virus-carrying Aedes mosquitoes (generally Aedes aegypti mosquitoes).
  • Chikungunya is an Abroviral infection.
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