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Hassan R, Rahman MM, Moniruzzaman M, et al. Chikungunya - an emerging infection in Bangladesh: a case series. J Med Case Rep. 2014;8:67doi: 10.1186/1752-1947-8-67.
Hassan, R., Rahman, M. M., Moniruzzaman, M., Rahim, A., Barua, S., Biswas, R., Biswas, P., Mowla, S. G., & Chowdhury, M. J. (2014). Chikungunya - an emerging infection in Bangladesh: a case series. Journal of medical case reports, 867. https://doi.org/10.1186/1752-1947-8-67
Hassan, Rashedul, et al. "Chikungunya - an emerging infection in Bangladesh: a case series." Journal of medical case reports vol. 8 (2014): 67. doi: https://doi.org/10.1186/1752-1947-8-67
Hassan R, Rahman MM, Moniruzzaman M, Rahim A, Barua S, Biswas R, Biswas P, Mowla SG, Chowdhury MJ. Chikungunya - an emerging infection in Bangladesh: a case series. J Med Case Rep. 2014 Feb 23;8:67. doi: 10.1186/1752-1947-8-67. PMID: 24559283; PMCID: PMC3938320.
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J Med Case Rep. 2014 Feb 23;8:67. doi: 10.1186/1752-1947-8-67.

Chikungunya - an emerging infection in Bangladesh: a case series.

Journal of medical case reports

Rashedul Hassan, Md Mujibur Rahman, Md Moniruzzaman, Abdur Rahim, Satyajit Barua, Rajib Biswas, Pijous Biswas, Syed Ghulam Mogni Mowla, Ma Jalil Chowdhury

Affiliations

  1. Department of Medicine, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh. [email protected].

PMID: 24559283 PMCID: PMC3938320 DOI: 10.1186/1752-1947-8-67

Abstract

INTRODUCTION: Chikungunya is an arthropod-borne virus endemic to Africa, Southeast Asia and India that causes acute febrile polyarthralgia and arthritis. In this short case series, we discuss six Bangladeshi patients with chikungunya fever. Though Bangladesh is in endemic zone, it is not common here, hence it demands attention for proper diagnosis and management.

CASE PRESENTATION: The six cases of chikungunya we report occurred in native Bangladeshi women with ages ranging from 20 to 50 years and all having a middle class family background. Three women had severe incapacitating arthralgia as well as a maculo-papular rash and a high fever. The other three had a high grade fever and arthralgia only, but no rash. They were tested for chikungunya immunoglobulin M antibody and found to be positive in all cases. They were treated symptomatically with non-steroidal anti-inflammatory drugs and found responsive in most cases.

CONCLUSION: From this case series, it is evident that chikungunya is not that uncommon in Bangladesh. But the concomitant presence of other arthropod-borne infections with similar courses of illness makes most physicians less aware of this infection. An awareness and clinical knowledge are necessary to diagnose chikungunya infection properly.

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