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Published on: March 13, 2018
[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.
Unlabelled:
During the southern-hemispheric 2005-2006 summer, Reunion Island was struck by an epidemic of Chikungunya (Chik), which affected more than a third of the overall population.
Objectives:
Our objective was to describe pediatric cases of Chick.
Material And Methods:
We conducted a retrospective descriptive monocentric study of confirmed pediatric cases of Chik recruited at Saint-Denis' departmental hospital during the peak of the epidemic (January 1st to April 30th 2006).
Results:
Eighty-six children aged 10 days to 18 years were included. In addition to the typical clinical presentation, we observed other phenotypes. Well-known complicated forms with neurologic, cardiac, gastro-intestinal (plus dehydration) involvement were thoroughly investigated using modern medical technology. We observed 2 fatal cases of acute disease in 9-year-old children: death resulted from a central nervous system insult in one case, and multisystemic neurological, cardiac, haemorrhagic involvement in another. Severe acute presentations requiring hospital admission involved mainly children aged less than 6 months, and those with cardiac, skin and neurologic impairment. The study identified 3 cases of epidermolysis bullosa, which to our knowledge, have never been described previously.
Conclusion:
Chik in children warrants further research in order to propose early and appropriate treatments to avoid complications.
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