Clinical profile of Chikungunya in infants

Joseph J Valamparampil1, Shibi Chirakkarot, S Letha

  • 1Department of Pediatrics, Institute of Child Health, Government Medical College, Kerala, India.

Insights

Chikungunya infection in infants presents uniquely with fever, acrocyanosis, and distinct skin lesions, differing from older children. Close monitoring and rational treatment can prevent severe outcomes in infants.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Virology

Background:

  • Chikungunya virus (CHIKV) infection is a significant public health concern.
  • Clinical manifestations of CHIKV infection in infants are not well-defined.

Purpose of the Study:

  • To define the clinical manifestations of Chikungunya infection in infants.
  • To differentiate infant CHIKV presentation from older children.

Main Methods:

  • Prospective study of 56 infants (<1 year) with fever and specific clinical features.
  • Clinical examination, daily follow-up, and IgM antibody capture ELISA for CHIKV confirmation.
  • Serial order of clinical feature appearance documented.

Main Results:

  • Fever was universal; common symptoms included lethargy, irritability, and excessive cry.
  • Characteristic findings were acrocyanosis and superficial vesicobullous lesions.
  • Maculopapular rashes progressed to morbilliform, sparing the face and oral cavity.

Conclusions:

  • Infants exhibit a distinct clinical spectrum of Chikungunya compared to older children.
  • Vigilant monitoring and appropriate management are crucial to reduce infant morbidity and mortality.
  • Early recognition of unique infant symptoms aids in timely intervention.
Abstract

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