Chikungunya: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*Other infectious rashes | *Other infectious rashes | ||
Revision as of 00:41, 19 September 2014
Background
Mosquito transmitted virus, originally found in West Africa but cases in the Americas beginning in 2013
Clinical Features
- Fever typically greater than 39deg
- Polyarthralgias, bilateral and symmetrical
- Rash- maculopapular
- Myalgias
- Nausea and vomiting
- Lymphocytopenia
- Elevated LFTs
- AKI
- 3-7d incubation period
Differential Diagnosis
Fever in traveler
- Normal causes of acute fever!
- Malaria
- Dengue
- Leptospirosis
- Typhoid fever
- Typhus
- Viral hemorrhagic fevers
- Chikungunya
- Yellow fever
- Rift valley fever
- Q fever
- Amebiasis
- Zika virus
- Other infectious rashes
Workup
- CBC w diff, Cr, LFTs
- contact CDC for specialized testing; recommends tiger top tube
Management
Symptomatic treatment: acute symptoms usually resolve in 7-10d
Disposition
See Also
External Links
Sources
CDC