Chikungunya

Chikungunya fever presenting with protracted severe pruritus

“…Thrombocytopenia is common with dengue fever, but is not usually a feature of chikungunya fever (platelet count normal in our patient) [8] , [9] , [10] . ( Table 1 ) Although pruritus has been described with chikungunya fever, the severity and duration of pruritus in this case were remarkable [1] , [2] , [3] . In this case, before serologic confirmation without rash, the main diagnostic clue that suggested chikungunya fever was severe prolonged pruritus.…”

“…Chikungunya fever closely resembles dengue fever, i.e., fever, headache, rash, myalgias, but prominent and persistent polyarthralgia are characteristic of chikungunya fever [1] , [2] , [3] . Generalized lymphadenopathy may be present with chikungunya fever and dengue fever, but regional adenopathy is distinctly unusual.…”

“…Typhoid fever (rose spots), dengue, and chikungunya fever may present with rash. Prominent polyarthralgia, which may be long lasting, are the hallmark of chikungunya fever [1] , [2] , [3] . We present a case of a young African American female who returned from Jamaica with fever, chills, myalgias and headache, but no rash or polyarthralgia.…”