[Chikungunya in paediatrics: epidemic of 2005-2006 in Saint-Denis, Reunion Island]

S Ernould1, H Walters, J-L Alessandri

  • 1Service de pédiatrie, centre hospitalier départemental de Bellepierre, 97400 Saint-Denis, Réunion. antotiana@club-internet.fr

Insights

Chikungunya in children can present with severe neurological and cardiac complications, including fatal outcomes. Early recognition and treatment are crucial for pediatric Chikungunya cases, especially in infants under six months.

Area of Science:

  • Epidemiology
  • Pediatric Infectious Diseases
  • Clinical Medicine

Context:

  • Reunion Island experienced a significant Chikungunya (Chik) epidemic during the 2005-2006 summer.
  • Over one-third of the island's population was affected by the Chikungunya outbreak.

Purpose:

  • To describe the clinical characteristics and outcomes of pediatric Chikungunya cases.
  • To identify severe presentations and novel phenotypes in children affected by Chikungunya.

Summary:

  • A retrospective study analyzed 86 confirmed pediatric Chikungunya cases from January to April 2006.
  • Severe cases, particularly in infants under six months, involved neurological, cardiac, and gastro-intestinal complications.
  • Two fatal cases were reported, one due to central nervous system insult and another with multisystemic involvement. Three cases of epidermolysis bullosa were also identified.

Impact:

  • Highlights the potential for severe and fatal outcomes in pediatric Chikungunya.
  • Identifies specific risk factors and vulnerable populations (infants <6 months) for severe disease.
  • Underscores the need for further research into early and effective treatments for pediatric Chikungunya to prevent complications.
Abstract

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