CHIKUNGUNYA FEVER

Group Members

Farzanul Haque Mony (161200138)

Ehsanul Amin Khan (152200104)
Md. Sehad Chowdhury (133200069)
Md. Istiaque Ahmed Emon (151200094)
* Chikungunya name derived from Swahili word “that which bends
up in reference to the stooped posture developed as a result of
Arthralgia(severe joint pains)”
* Clinical Features:-

Fever Rash

Headache Arthralgia

Nausea Hemorrhagic manifestation-bleeding gums,

Vomiting Epistaxis, heametemesis,

myalgia Blood in stool-maleana

 Symtoms
Period of illness:-illness is often acute and lasts for 3-
5days.may be up to 10days or more. Recovery is usually
prolonged and marked by weakness and pain in joints.
Incubation period:-2-12days commonly 3-5 days.
Age group:-the disease affects all age groups.
Morbidity:-30-70%of population in affected field/area.
Mortality:-Negligible.
Virus responsible:- belongs to family togaviradae
Genus:- Alpha virus
Subgroup:-semilliki forest Venezuelan(SFV)equine
encephalitis.
 Epidemiology

Basically recognized as URBAN disease .

Clinically very similar to dengue.misdignosis is not unusual.
Virus was first isolated in febrile human in Tanzania in 1953.
In India outbreak reported in 1963in kolkatta,east costal area
i.e.chhenai,pondichery,vellore,vishakhapattanam in 1964.
In Maharashtra sporadic cases reported in the year 1973, and
year 1983, year 2000
The virus is maintained in nature in man-mosquito-man cycle.
 Case Definition of CHK fever

Suspect case:- acute onset, high fever, 7 days duration, severe

headache, myalgia, severe arthralgia,with or without rash

Probable Case:-suspect case of CHK, high vector

dencity,presence of confirm case in the area .

Confirmed Case:-
Isolation of virus in early phase.
Serological test for IgM antibody after 5th day of illness.
Demonstration of 4 fold or greater rise in IgG antibodies in
paired sera.
 DIAGNOSIS

Isolation of Virus
Demonstrating of four fold or greater rise in antibody titre.
ELISA testing foe IgM antibody.
Diagnosis by RT-PCR Test
The antibody titre will be positive after 5th day of illness only.
 PREVENTION and TREATMENT
and CONTROL

Self-limiting and it will Resolve With Time.

No Specific Treatment for Chikungunya.
No Vaccine available for prevention for CHK.
Control is possible by avoidance of mosquito bites
reduction in density of vector.
Treatment is mainly symptomatic by anti inflammatory
drugs. Steroids are not to be used.
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