Chikungunya infection in infants
Abstract Introduction: the infection of chikungunya virus presents clinical manifestations variables, particularly in infants in which may present multiple cutaneous manifestations. Description: a case series study was carried out in an analytical character of 14 infants (>28 days to < 2 years old) admitted in a hospital between November 2015 and January 2016 with suspected case of chikungunya, by a specific IgM reactive serology. Patients positive for dengue fever, Zika virus, bacterial infections and other exanthematic diseases were excluded. Fever and cutaneous alterations were the most frequent clinical manifestations in 100% of the cases, followed by irritability (64.3%), vomits and arthralgia/arthritis in 35.7% each. Three children presented alterations in the cerebrospinal fluid compatible to meningitis. Anemia frequency was 85.7%. The median white blood cells count was 7.700/mm3 (2.600 to 20.300/mm3). High levels of aminotransferases were observed in three cases (230 to 450 U/L). Antibiotic therapy was indicated in 64.3% of the cases. Two infants needed opioid derivatives for analgesia while others took acetaminophen and/or dipyrone. Discussion: the study shows evident multi-systemic involvement of chikungunya infection in infants. The treatment is supportive, giving special attention to hydration, analgesia, skin care, and rational use of antibiotic therapy.
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Instituto de Medicina Integral Prof. Fernando Figueira
2016
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oai:scielo:S1519-382920160008000062016-11-25Chikungunya infection in infantsDuarte,Maria do Carmo Menezes BezerraOliveira Neto,Arino Faria deBezerra,Patrícia Gomes de MatosCavalcanti,Lara AlvesSilva,Vanessa Máximo de BritoAbreu,Suelda Grasiela Alves Araújo deLeite,Susana Farias BatistaCavalcanti,Nara Vasconcelos Chikungunya Cutaneous manifestations Infants Abstract Introduction: the infection of chikungunya virus presents clinical manifestations variables, particularly in infants in which may present multiple cutaneous manifestations. Description: a case series study was carried out in an analytical character of 14 infants (>28 days to < 2 years old) admitted in a hospital between November 2015 and January 2016 with suspected case of chikungunya, by a specific IgM reactive serology. Patients positive for dengue fever, Zika virus, bacterial infections and other exanthematic diseases were excluded. Fever and cutaneous alterations were the most frequent clinical manifestations in 100% of the cases, followed by irritability (64.3%), vomits and arthralgia/arthritis in 35.7% each. Three children presented alterations in the cerebrospinal fluid compatible to meningitis. Anemia frequency was 85.7%. The median white blood cells count was 7.700/mm3 (2.600 to 20.300/mm3). High levels of aminotransferases were observed in three cases (230 to 450 U/L). Antibiotic therapy was indicated in 64.3% of the cases. Two infants needed opioid derivatives for analgesia while others took acetaminophen and/or dipyrone. Discussion: the study shows evident multi-systemic involvement of chikungunya infection in infants. The treatment is supportive, giving special attention to hydration, analgesia, skin care, and rational use of antibiotic therapy.info:eu-repo/semantics/openAccessInstituto de Medicina Integral Prof. Fernando FigueiraRevista Brasileira de Saúde Materno Infantil v.16 suppl.1 20162016-11-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000800006en10.1590/1806-9304201600s100006 |
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Duarte,Maria do Carmo Menezes Bezerra Oliveira Neto,Arino Faria de Bezerra,Patrícia Gomes de Matos Cavalcanti,Lara Alves Silva,Vanessa Máximo de Brito Abreu,Suelda Grasiela Alves Araújo de Leite,Susana Farias Batista Cavalcanti,Nara Vasconcelos |
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Duarte,Maria do Carmo Menezes Bezerra Oliveira Neto,Arino Faria de Bezerra,Patrícia Gomes de Matos Cavalcanti,Lara Alves Silva,Vanessa Máximo de Brito Abreu,Suelda Grasiela Alves Araújo de Leite,Susana Farias Batista Cavalcanti,Nara Vasconcelos Chikungunya infection in infants |
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Duarte,Maria do Carmo Menezes Bezerra Oliveira Neto,Arino Faria de Bezerra,Patrícia Gomes de Matos Cavalcanti,Lara Alves Silva,Vanessa Máximo de Brito Abreu,Suelda Grasiela Alves Araújo de Leite,Susana Farias Batista Cavalcanti,Nara Vasconcelos |
author_sort |
Duarte,Maria do Carmo Menezes Bezerra |
title |
Chikungunya infection in infants |
title_short |
Chikungunya infection in infants |
title_full |
Chikungunya infection in infants |
title_fullStr |
Chikungunya infection in infants |
title_full_unstemmed |
Chikungunya infection in infants |
title_sort |
chikungunya infection in infants |
description |
Abstract Introduction: the infection of chikungunya virus presents clinical manifestations variables, particularly in infants in which may present multiple cutaneous manifestations. Description: a case series study was carried out in an analytical character of 14 infants (>28 days to < 2 years old) admitted in a hospital between November 2015 and January 2016 with suspected case of chikungunya, by a specific IgM reactive serology. Patients positive for dengue fever, Zika virus, bacterial infections and other exanthematic diseases were excluded. Fever and cutaneous alterations were the most frequent clinical manifestations in 100% of the cases, followed by irritability (64.3%), vomits and arthralgia/arthritis in 35.7% each. Three children presented alterations in the cerebrospinal fluid compatible to meningitis. Anemia frequency was 85.7%. The median white blood cells count was 7.700/mm3 (2.600 to 20.300/mm3). High levels of aminotransferases were observed in three cases (230 to 450 U/L). Antibiotic therapy was indicated in 64.3% of the cases. Two infants needed opioid derivatives for analgesia while others took acetaminophen and/or dipyrone. Discussion: the study shows evident multi-systemic involvement of chikungunya infection in infants. The treatment is supportive, giving special attention to hydration, analgesia, skin care, and rational use of antibiotic therapy. |
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Instituto de Medicina Integral Prof. Fernando Figueira |
publishDate |
2016 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000800006 |
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