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VOLUME 22 , ISSUE 4 ( 2018 ) > List of Articles

CASE REPORT

Atypical neurological manifestations of chikungunya fever: Two case reports

Pulin Gupta, Akanksha Singh, Ramesh Meena

Keywords : Chikungunya, Epidermal necrosis, Guillain–Barre syndrome, Meningoencephalitis

Citation Information : Gupta P, Singh A, Meena R. Atypical neurological manifestations of chikungunya fever: Two case reports. Indian J Crit Care Med 2018; 22 (4):306-308.

DOI: 10.4103/ijccm.IJCCM_459_17

License: CC BY-ND 3.0

Published Online: 01-01-2015

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Chikungunya fever (CHIK) is an arboviral disease which is transmitted by a mosquito bite (Aedes aegypti). Fever, polyarthralgia, and maculopapular rash are hallmark clinical manifestations of this disease. These manifestations are self-liming and complete recovery is seen in most of the cases. However, atypical and lethal complications such as myocarditis, hepatitis, Guillain–Barre syndrome (GBS), and meningoencephalitis have been reported in few cases of CHIK. We hereby report two cases of chikungunya infection where rare and atypical manifestations of CHIK, i.e., GBS with bilateral lower motor facial nerve palsy, and meningoencephalitis with epidermal necrosis were seen.


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  1. Lemant J, Boisson V, Winer A, Thibault L, André H, Tixier F, et al. Serious acute chikungunya virus infection requiring intensive care during the reunion Island outbreak in 2005-2006. Crit Care Med 2008;36:2536-41.
  2. Lahariya C, Pradhan SK. Emergence of chikungunya virus in Indian subcontinent after 32 years: A review. J Vector Borne Dis 2006;43:151-60.
  3. Chandak NH, Kashyap RS, Kabra D, Karandikar P, Saha SS, Morey SH, et al. Neurological complications of chikungunya virus infection. Neurol India 2009;57:177-80.
  4. O'Leary DR, Kuhn S, Kniss KL, Hinckley AF, Rasmussen SA, Pape WJ, et al. Birth outcomes following west Nile virus infection of pregnant women in the United States: 2003-2004. Pediatrics 2006;117:e537-45.
  5. Wadia RS. A neurotropic virus (chikungunya) and a neuropathic amino acid (homocysteine). Ann Indian Acad Neurol 2007;10:198-13.
  6. Lebrun G, Chadda K, Reboux AH, Martinet O, Gaüzère BA. Guillain-Barré syndrome after chikungunya infection. Emerg Infect Dis 2009;15:495-6.
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