A Case Report on Chikungunya Virus-Associated Encephalomyelitis

Chikungunya is a rerising alphavirus infection that has resulted from enhanced vector competence. Alphaviruses are divided into arthritogenic viruses (old world) and encephalitogenic viruses (new world) including equine encephalitis viruses. Chikungunya is a dengue-like illness characterized by acut...

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Main Authors: Harsh Khatri, Heli Shah, Dhara Roy, Kaushalendra Mani Tripathi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2018/8904753
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author Harsh Khatri
Heli Shah
Dhara Roy
Kaushalendra Mani Tripathi
author_facet Harsh Khatri
Heli Shah
Dhara Roy
Kaushalendra Mani Tripathi
author_sort Harsh Khatri
collection DOAJ
description Chikungunya is a rerising alphavirus infection that has resulted from enhanced vector competence. Alphaviruses are divided into arthritogenic viruses (old world) and encephalitogenic viruses (new world) including equine encephalitis viruses. Chikungunya is a dengue-like illness characterized by acute febrile polyarthralgia, arthritis, malaise, body ache, rash, headache, and nausea. The illness is self-limiting. The neurological manifestations are uncommon and incorporate meningoencephalitis, myelitis, Guillain–Barre syndrome, cranial nerve palsies, myelopathy, and neuropathy; MRI abnormalities in patients with encephalopathy from India have been reported in the form of multiple punctuate white matter lesions that are more prominent on diffusion-weighted MRI than on T2 or T1. Here, we present an intriguing case of chikungunya encephalomyelitis who presented to our tertiary care hospital with quadriparesis and urinary retention. He was treated with 5 doses of intravenous immunoglobulin along with supportive care with which he showed partial recovery.
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spelling doaj-art-dde8ea3d03e343d8a898353fa051f4c22025-02-03T05:58:40ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/89047538904753A Case Report on Chikungunya Virus-Associated EncephalomyelitisHarsh Khatri0Heli Shah1Dhara Roy2Kaushalendra Mani Tripathi3Department of Medicine, V.S. Hospital, Smt. NHL Municipal Medical College, Ahmedabad, IndiaDepartment of Medicine, V.S. Hospital, Smt. NHL Municipal Medical College, Ahmedabad, IndiaDepartment of Medicine, V.S. Hospital, Smt. NHL Municipal Medical College, Ahmedabad, IndiaDepartment of Medicine, V.S. Hospital, Smt. NHL Municipal Medical College, Ahmedabad, IndiaChikungunya is a rerising alphavirus infection that has resulted from enhanced vector competence. Alphaviruses are divided into arthritogenic viruses (old world) and encephalitogenic viruses (new world) including equine encephalitis viruses. Chikungunya is a dengue-like illness characterized by acute febrile polyarthralgia, arthritis, malaise, body ache, rash, headache, and nausea. The illness is self-limiting. The neurological manifestations are uncommon and incorporate meningoencephalitis, myelitis, Guillain–Barre syndrome, cranial nerve palsies, myelopathy, and neuropathy; MRI abnormalities in patients with encephalopathy from India have been reported in the form of multiple punctuate white matter lesions that are more prominent on diffusion-weighted MRI than on T2 or T1. Here, we present an intriguing case of chikungunya encephalomyelitis who presented to our tertiary care hospital with quadriparesis and urinary retention. He was treated with 5 doses of intravenous immunoglobulin along with supportive care with which he showed partial recovery.http://dx.doi.org/10.1155/2018/8904753
spellingShingle Harsh Khatri
Heli Shah
Dhara Roy
Kaushalendra Mani Tripathi
A Case Report on Chikungunya Virus-Associated Encephalomyelitis
Case Reports in Infectious Diseases
title A Case Report on Chikungunya Virus-Associated Encephalomyelitis
title_full A Case Report on Chikungunya Virus-Associated Encephalomyelitis
title_fullStr A Case Report on Chikungunya Virus-Associated Encephalomyelitis
title_full_unstemmed A Case Report on Chikungunya Virus-Associated Encephalomyelitis
title_short A Case Report on Chikungunya Virus-Associated Encephalomyelitis
title_sort case report on chikungunya virus associated encephalomyelitis
url http://dx.doi.org/10.1155/2018/8904753
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