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Multiplexed Isothermal Amplification Based Diagnostic Platform to Detect Zika, Chikungunya, and Dengue 1
Published on: March 13, 2018
[Chikungunya virus infections in children]
1Urgences pédiatriques, Centre Hospitalier Universitaire, Hôpital Archet 2, 151 Route de Saint-Antoine-de-Ginestière, 06202 Nice cedex 03, France. haas.h@chu-nice.fr
Summary
Chikungunya fever, a mosquito-borne illness, causes severe joint pain and can lead to serious complications in children. Early diagnosis and intensive care are crucial for managing this potentially fatal arbovirosis.
Area of Science:
- Virology: Focuses on Chikungunya virus (CHIKV), an alphavirus within the Togaviridae family.
- Epidemiology: Investigates arbovirosis transmission by Aedes mosquitoes and global outbreak potential.
Context:
- Chikungunya fever presents as a debilitating flu-like illness, primarily characterized by severe arthralgia.
- While often milder in children, severe complications like encephalopathy and cutaneous issues pose fatality risks.
- Vertical transmission from mother to child is a documented risk, particularly with high maternal viremia.
Purpose:
- To detail the clinical manifestations of Chikungunya fever, including its impact on different age groups.
- To highlight diagnostic methods, such as RT-PCR for CHIKV RNA and MAC-Elisa for IgM antibodies.
- To underscore the public health threat posed by CHIKV outbreaks in regions with Aedes mosquito proliferation.
Summary:
- Chikungunya virus (CHIKV) causes a severe febrile illness with disabling arthralgia, transmitted by Aedes mosquitoes.
- Severe manifestations, including neurological and cutaneous complications, can occur, especially in infants, with potential fatality.
- Diagnosis involves detecting viral RNA or specific antibodies; the disease is notifiable due to epidemic potential.
Impact:
- The 2005-2006 Indian Ocean epidemic demonstrated CHIKV's capacity for large-scale outbreaks.
- Established endemicity of Aedes albopictus in France signifies a real risk of CHIKV introduction and local transmission.
- Increased awareness and surveillance are vital for public health preparedness in endemic and at-risk areas.
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