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      Severe Sepsis and Septic Shock Associated with Chikungunya Virus Infection, Guadeloupe, 2014

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          Abstract

          During a 2014 outbreak, 450 patients with confirmed chikungunya virus infection were admitted to the University Hospital of Pointe-à-Pitre, Guadeloupe. Of these, 110 were nonpregnant adults; 42 had severe disease, and of those, 25 had severe sepsis or septic shock and 12 died. Severe sepsis may be a rare complication of chikungunya virus infection.

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          Gram-Negative Bacteremia

          WILLIAM McCABE (1962)
          Article 0 comments Cited 86 times – based on 0 reviews     Review now
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            EPIDEMIOLOGY, CLINICAL MANIFESTATIONS, AND DIAGNOSIS OF CHIKUNGUNYA FEVER: LESSONS LEARNED FROM THE RE-EMERGING EPIDEMIC

            Alladi Mohan, DHN Kiran, I Manohar … (2010)
            Chikungunya fever, caused by “Chikungunya virus,” is an arbovirus disease transmitted by the bite of infected mosquitoes belonging to the genus Aedes. Chikungunya fever epidemics have been reported from several countries around the world. The disease that was silent for nearly 32 years re-emerged in the October 2005 outbreak in India that is still ongoing. The incubation period ranges from 3 to 12 days. The onset is usually abrupt and the acute stage is characterized by sudden onset with high-grade fever, severe arthralgias, myalgias, and skin rash. Swollen tender joints and crippling arthritis are usually evident. In the chronic stage, relapses that include sensation of fever, asthenia, exacerbation of arthralgias, inflammatory polyarthritis, and stiffness may be evident. Neurological, ocular, and mucocutaneous manifestations have also been described. Chronic arthritis may develop in about 15% of the patients. Viral culture is the gold standard for the diagnosis of Chikungunya fever. Reverse transcription polymerase chain reaction and real-time loop-mediated isothermal amplification have also been found to be useful. Serodiagnostic methods for the detection of immunoglobulin M and immunoglobulin G antibodies against Chikungunya virus are more frequently used. Chikungunya is a self-limiting disease; however, severe manifestations such as meningoencephalitis, fulminant hepatitis, and bleeding manifestations may sometimes be life-threatening. Treatment is symptomatic and supportive. Prevention by educating the community and public health officials, vector control measures appear to be the best approach at controlling Chikungunya fever as no commercially available vaccine is available for public use in India for this condition presently.
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              Emergence of chikungunya fever on the French side of Saint Martin island, October to December 2013.

              P Huc, D Petit, S Cassadou … (2013)
              Article 0 comments Cited 31 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Emerg Infect Dis
                Journal ID (iso-abbrev): Emerging Infect. Dis
                Journal ID (publisher-id): EID
                Title: Emerging Infectious Diseases
                Publisher: Centers for Disease Control and Prevention
                ISSN (Print): 1080-6040
                ISSN (Electronic): 1080-6059
                Publication date (Print): May 2016
                Volume: 22
                Issue: 5
                Pages: 891-894
                Affiliations
                [1]Centre Hospitalier Universitaire, Pointe-à-Pitre, France (A. Rollé, K. Schepers, E. Curlier, B. Madeux, C. Hermann-Storck, I. Fabre, I. Lamaury, G. Thiery, B. Hoen);
                [2]Cellule Interrégionale d’Epidémiologie Antilles-Guyane, Institut de Veille Sanitaire, Gourbeyre, France (S. Cassadou);
                [3]Centre d’Investigation Clinique 1424, Institut National de la Santé et de la Recherche Médicale, Pointe-à-Pitre (B. Tressières, B. Hoen);
                [4]Université des Antilles, Faculté de Médecine Hyacinthe Bastaraud, Pointe-à-Pitre (G. Thiery, B. Hoen)
                Author notes
                Address for correspondence: Bruno Hoen, Department of Infectious Diseases, Dermatology, and Internal Medicine, University Medical Center of Guadeloupe, BP 465, 97159 Pointe-à-Pitre CEDEX, Guadeloupe; email: bruno.hoen@ 123456chu-guadeloupe.fr
                Article
                Publisher ID: 15-1449
                DOI: 10.3201/eid2205.151449
                PMC ID: 4861514
                PubMed ID: 27088710
                SO-VID: c54afc2c-568a-4c8b-a419-e28ee645beef
                History
                Categories
                Subject: Dispatch
                Subject: Dispatch
                Subject: Severe Sepsis and Septic Shock Associated with Chikungunya Virus Infection, Guadeloupe, 2014

                ScienceOpen disciplines: Infectious disease & Microbiology
                Keywords: chikungunya,chikv,severe sepsis,septic shock,vector-borne infections,viruses,guadeloupe,french west indies
                Data availability:
                ScienceOpen disciplines: Infectious disease & Microbiology
                Keywords: chikungunya, chikv, severe sepsis, septic shock, vector-borne infections, viruses, guadeloupe, french west indies

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