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Clinical and laboratory profiles of children with severe chikungunya infection
Francisca Lillyan Christyan Nunes Beserra1, Gustavo Mesquita Oliveira1, Tino Miro Aurélio Marques1
1Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
Insights
Chikungunya virus infection in children can manifest differently based on age. Severe cases in pediatric patients often involve systemic issues and unusual symptoms, requiring specific attention.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Clinical Medicine
Background:
- Chikungunya virus infection exhibits age-specific clinical presentations.
- Understanding these variations is crucial for accurate diagnosis and management.
Purpose of the Study:
- To describe the clinical features of chikungunya virus infection in hospitalized children.
- To identify characteristics associated with severe disease in pediatric populations.
Main Methods:
- Retrospective analysis of medical records.
- Inclusion criteria: children with positive IgM for chikungunya virus.
- Study setting: pediatric ward in Fortaleza, Ceará, Brazil.
Main Results:
- Fourteen children (median age: 4 months) were analyzed.
- All presented with fever (average 5 days).
- Joint involvement occurred in 42.8%, and bullous rash in 57.1%.
Conclusions:
- Severe chikungunya infection in children is characterized by systemic involvement.
- Atypical clinical manifestations are indicative of severe disease in pediatric chikungunya cases.
Introduction:
Chikungunya infection presents with distinct clinical features depending on the patient age group.
Methods:
Medical records of children with positive IgM for the chikungunya virus who were hospitalized in a pediatric ward in Fortaleza, Ceará, Brazil were analyzed.
Results:
Fourteen children with a median age of 4 months (36 days to 15 years) were included. All patients presented with fever persisting for an average of 5 days. The joints were involved in 6 (42.8%) children, and 8 (57.1%) children presented with bullous rash.
Conclusions:
Systemic involvement and atypical clinical manifestations characterize severe forms of chikungunya infection in children.
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