Fatal cases of Chikungunya virus infection in Colombia: Diagnostic and treatment challenges

被引:41
作者
de la Hoz, Juan M. [1 ,2 ]
Bayona, Brayan [1 ]
Viloria, Samir [3 ]
Accini, Jose L. [4 ]
Juan-Vergara, Homero San [1 ]
Viasus, Diego [1 ,2 ]
机构
[1] Univ Norte, Div Hlth Sci, Barranquilla, Colombia
[2] Hosp Univ Norte, Dept Internal Med, Barranquilla, Colombia
[3] Hosp Univ Norte, Dept Microbiol, Barranquilla, Colombia
[4] Hosp Univ Norte, Intens Care Unit, Barranquilla, Colombia
关键词
Chikungunya; Dengue; Mortality; Clinical feature; Laboratory finding; GABON; FEVER;
D O I
10.1016/j.jcv.2015.05.021
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Although Chikungunya infection is emerging as an important public health problem in many countries, it is not regarded as a life-threatening disease. Information dealing with fatal cases is scarce. We herein describe three patients with Chickungunya infection who presented with multiple organ failure and died within 24 h of admission. Two cases had positive anti-dengue IgM, but dengue coinfection was rejected based on the clinical features and results of real-time reverse transcription polymerase chain reaction. These cases illustrate the challenges of the diagnosis and management of severe Chikungunya infection. (C) 2015 Elsevier B.V. All rights reserved.
引用
收藏
页码:27 / 29
页数:3
相关论文
共 8 条
[1]   Outbreak of Chikungunya on Reunion Island: Early clinical and laboratory features in 157 adult patients [J].
Borgherini, Gianandrea ;
Poubeau, Patrice ;
Staikowsky, Frederik ;
Lory, Manuella ;
Le Moullec, Nathalie ;
Becquart, Jean Philippe ;
Wengling, Catherine ;
Michault, Alain ;
Paganin, Fabrice .
CLINICAL INFECTIOUS DISEASES, 2007, 44 (11) :1401-1407
[2]   Recent Introduction and Rapid Dissemination of Chikungunya Virus and Dengue Virus Serotype 2 Associated With Human and Mosquito Coinfections in Gabon, Central Africa [J].
Caron, Melanie ;
Paupy, Christophe ;
Grard, Gilda ;
Becquart, Pierre ;
Mombo, Illich ;
Nso, Branly Bikie Bi ;
Kassa, Fabrice Kassa ;
Nkoghe, Dieudonne ;
Leroy, Eric Maurice .
CLINICAL INFECTIOUS DISEASES, 2012, 55 (06) :E45-E53
[3]   Atypical Chikungunya virus infections: clinical manifestations, mortality and risk factors for severe disease during the 2005-2006 outbreak on Reunion [J].
Economopoulou, A. ;
Dominguez, M. ;
Helynck, B. ;
Sissoko, D. ;
Wichmann, O. ;
Quenel, P. ;
Germonneau, P. ;
Quatresous, I. .
EPIDEMIOLOGY AND INFECTION, 2009, 137 (04) :534-541
[4]   Concurrent outbreaks of Chikungunya and Dengue fever in Kandy, Sri Lanka, 2006-07: a comparative analysis of clinical and laboratory features [J].
Kularatne, S. A. M. ;
Gihan, M. C. ;
Weerasinghe, S. C. ;
Gunasena, S. .
POSTGRADUATE MEDICAL JOURNAL, 2009, 85 (1005) :342-346
[5]   Simple Clinical and Laboratory Predictors of Chikungunya versus Dengue Infections in Adults [J].
Lee, Vernon J. ;
Chow, Angela ;
Zheng, Xiaohui ;
Carrasco, Luis R. ;
Cook, Alex R. ;
Lye, David C. ;
Ng, Lee-Ching ;
Leo, Yee-Sin .
PLOS NEGLECTED TROPICAL DISEASES, 2012, 6 (09)
[6]   Clinical Forms of Chikungunya in Gabon, 2010 [J].
Nkoghe, Dieudonne ;
Kassa, Roland Fabrice ;
Caron, Melanie ;
Grard, Gilda ;
Mombo, Illich ;
Bikie, Branly ;
Paupy, Christophe ;
Becquart, Pierre ;
Bisvigou, Ulrich ;
Leroy, Eric Maurice .
PLOS NEGLECTED TROPICAL DISEASES, 2012, 6 (02)
[7]   Prospective Study of Chikungunya Virus Acute Infection in the Island of La Reunion during the 2005-2006 Outbreak [J].
Staikowsky, Frederik ;
Talarmin, Francois ;
Grivard, Philippe ;
Souab, Abdel ;
Schuffenecker, Isabelle ;
Le Roux, Karin ;
Lecuit, Marc ;
Michault, Alain .
PLOS ONE, 2009, 4 (10)
[8]   Chikungunya fever: Epidemiology, clinical syndrome, pathogenesis and therapy [J].
Thiberville, Simon-Djamel ;
Moyen, Nanikaly ;
Dupuis-Maguiraga, Laurence ;
Nougairede, Antoine ;
Gould, Ernest A. ;
Roques, Pierre ;
de Lamballerie, Xavier .
ANTIVIRAL RESEARCH, 2013, 99 (03) :345-370