Chikungunya
Condition
(Chikungunya fever)
Definition
Chikungunya is a virus spread by an infected mosquito. Most people recover. Some may have severe or lasting symptoms.
Causes
Chikungunya virus causes the infection. It is passed to people from the bite of an infected mosquito. It cannot be passed from one person to another.
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Risk Factors
The risk of getting the virus is highest in areas where outbreaks have happened, such as:
- Africa
- Southeast Asia
- Southern Europe
- Islands in the Indian and Pacific Oceans
- Caribbean islands
Symptoms
Symptoms begin 3 to 7 days after infection and may include:
- High fever
- Severe joint pain
- Rash
- Muscle pain
- Headache
- Nausea and vomiting
- Red, irritated eyes
Diagnosis
The doctor will ask about symptoms, past health, and travel history. A physical exam will be done.
Blood tests will be done to look for signs of the infection.
Treatment
There is no treatment. The goal is to manage symptoms. Hospital care may be needed if symptoms are severe.
Supportive care options are:
- Rest
- Drinking plenty of fluids
- Pain relievers
Prevention
The risk of a chikungunya infection may be lowered by:
- Avoiding travel to areas with outbreaks
- Avoiding mosquito bites by:
- Using insect repellent
- Wearing long-sleeved shirts and pants that have been treated with insect repellent
- Taking steps to control mosquitos indoors and outdoors, such as with screens and netting and by emptying any containers that may contain water where mosquitos could breed
Centers for Disease Control and Prevention
World Health Organization
CANADIAN RESOURCES:
Health Canada
International Center for Infectious Diseases
Centers for Disease Control and Prevention
World Health Organization
CANADIAN RESOURCES:
Health Canada
International Center for Infectious Diseases
References
- Chikungunya. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/chikungunya/pdfs/CHIKV_FACTSHEET_CDC_Generalpublic(09-17-2014).pdf.
- Chikungunya fever. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/chikungunya-fever.
- Chikungunya fever (CHIK). Florida Health website. Available at: http://www.floridahealth.gov/diseases-and-conditions/chikungunya/index.html.
- Vairo F, Haider N, et al. Chikungunya: epidemiology, pathogenesis, clinical features, management, and prevention. Infect Dis Clin North Am. 2019;33(4):1003-1025.
Contributors
- David L. Horn, MD, FACP
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