Manifestations of Atypical Symptoms of Chikungunya during the Dhaka Outbreak (2017) in Bangladesh
Iztiba Mallik Deebaa, Md. Mahbub Hasana b, Abdullah Al Mosabbira c, Md. Hasanul Banna Siama, Muhammad Sougatul Islama, Enayetur Raheema d, Mohammad Sorowar Hossaina e✉
- aBiomedical Research Foundation, Dhaka, Bangladesh
- bDepartment of Genetic Engineering and Biotechnology, University of Chittagong, Chittagong, Bangladesh
- cSir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh
- dDepartment of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina
- eDepartment of Environmental Management, Independent University, Bangladesh (IUB), Dhaka, Bangladesh
- ✉Corresponding author
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Abstract
Chikungunya (CHIK) has emerged as a major public health concern worldwide. Recently, atypical manifestations are drawing special attention because these might be associated with various complications. Information on atypical manifestations of CHIK is still limited. Here, we analyzed a dataset of 1,326 cases from our recent Dhaka outbreak study to explore the demographics and distributions of atypical manifestations. About 80% of cases reported at least one atypical symptom. Among all atypical symptoms, the most common and unique atypical symptom was joint pain before fever (90.2%), occurred predominantly in female respondents. Other common symptoms included red eye (68.2%), oral ulcer (37.7%), and dermatological manifestations (27.1%). More than two-thirds of patients reported multiple atypical symptoms. Atypical manifestations were not significantly different across age groups, except ocular complications. This study would be an important resource for clinicians and epidemiologists to understand the diversity of Chikungunya infection and, thus, help in better patient management.
TL;DRA dataset of 1,326 cases from the recent Dhaka outbreak study was analyzed to explore the demographics and distributions of atypical manifestations of Chikungunya infection and found the most common and unique atypICAL symptom was joint pain before fever. (Semantic Scholar)