Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report
Chikungunya virus, a mosquito-borne alphavirus, is endemic in Africa and Southeast Asia but is rarely reported in Taiwan. We report the case of a Taiwanese woman who developed Chikungunya fever, which was first diagnosed by a clinician rather than by fever screening at an airport. The woman presente...
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doaj-5d9c53cb027148f2b73aadc5f35e7a092020-11-25T01:40:08ZengWileyKaohsiung Journal of Medical Sciences1607-551X2010-05-0126525626010.1016/S1607-551X(10)70037-1Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case ReportKo Chang0Hsiao-Chen Hsieh1Jih-Jin Tsai2Wei-Ru Lin3Po-Liang Lu4Yen-Hsu Chen5Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Infectious Disease, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanChikungunya virus, a mosquito-borne alphavirus, is endemic in Africa and Southeast Asia but is rarely reported in Taiwan. We report the case of a Taiwanese woman who developed Chikungunya fever, which was first diagnosed by a clinician rather than by fever screening at an airport. The woman presented with fever, maculopapular rash, and arthralgia, the triad for the disease, on the day she returned home after a trip to Malaysia. These symptoms are very similar to those of dengue fever, which is endemic in Southern Taiwan. Chikungunya infection was confirmed by reverse transcriptase-polymerase chain reaction and seroconversion on paired serum specimens. For approximately 40 years until 2006, no cases of Chikungunya fever had been found in Taiwan. Clinicians in Taiwan should consider Chikungunya fever as a possible diagnosis for a febrile patient with arthralgia, rash, and a history of travel to an endemic area, such as Africa or Southeast Asia.http://www.sciencedirect.com/science/article/pii/S1607551X10700371chikungunya feverdengue feverTaiwan |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ko Chang Hsiao-Chen Hsieh Jih-Jin Tsai Wei-Ru Lin Po-Liang Lu Yen-Hsu Chen |
spellingShingle |
Ko Chang Hsiao-Chen Hsieh Jih-Jin Tsai Wei-Ru Lin Po-Liang Lu Yen-Hsu Chen Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report Kaohsiung Journal of Medical Sciences chikungunya fever dengue fever Taiwan |
author_facet |
Ko Chang Hsiao-Chen Hsieh Jih-Jin Tsai Wei-Ru Lin Po-Liang Lu Yen-Hsu Chen |
author_sort |
Ko Chang |
title |
Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report |
title_short |
Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report |
title_full |
Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report |
title_fullStr |
Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report |
title_full_unstemmed |
Diagnosis and Management of Imported Chikungunya Fever in Taiwan: A Case Report |
title_sort |
diagnosis and management of imported chikungunya fever in taiwan: a case report |
publisher |
Wiley |
series |
Kaohsiung Journal of Medical Sciences |
issn |
1607-551X |
publishDate |
2010-05-01 |
description |
Chikungunya virus, a mosquito-borne alphavirus, is endemic in Africa and Southeast Asia but is rarely reported in Taiwan. We report the case of a Taiwanese woman who developed Chikungunya fever, which was first diagnosed by a clinician rather than by fever screening at an airport. The woman presented with fever, maculopapular rash, and arthralgia, the triad for the disease, on the day she returned home after a trip to Malaysia. These symptoms are very similar to those of dengue fever, which is endemic in Southern Taiwan. Chikungunya infection was confirmed by reverse transcriptase-polymerase chain reaction and seroconversion on paired serum specimens. For approximately 40 years until 2006, no cases of Chikungunya fever had been found in Taiwan. Clinicians in Taiwan should consider Chikungunya fever as a possible diagnosis for a febrile patient with arthralgia, rash, and a history of travel to an endemic area, such as Africa or Southeast Asia. |
topic |
chikungunya fever dengue fever Taiwan |
url |
http://www.sciencedirect.com/science/article/pii/S1607551X10700371 |
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