Manifestations of Atypical Symptoms of Chikungunya during the Dhaka Outbreak (2017) in Bangladesh
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 1,3...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2019-01, Vol.100 (6), p.1545-1548 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | Deeba, Iztiba Mallik Hasan, Md Mahbub Al Mosabbir, Abdullah Siam, Md Hasanul Banna Islam, Muhammad Sougatul Raheem, Enayetur Hossain, Mohammad Sorowar |
| description | 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. |
| doi_str_mv | 10.4269/ajtmh.19-0122 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.19-0122</identifier><identifier>PMID: 31038100</identifier><language>eng</language><publisher>United States: Institute of Tropical Medicine</publisher><subject>Adolescent ; Adult ; Bangladesh - epidemiology ; Chikungunya Fever - diagnosis ; Chikungunya Fever - epidemiology ; Chikungunya Fever - pathology ; Chikungunya virus ; Disease Outbreaks ; Epidemics ; Epidemiology ; Female ; Humans ; Infectious diseases ; Male ; Middle Aged ; Public health ; Viruses ; Young Adult</subject><ispartof>The American journal of tropical medicine and hygiene, 2019-01, Vol.100 (6), p.1545-1548</ispartof><rights>Copyright Institute of Tropical Medicine 2019</rights><rights>The American Society of Tropical Medicine and Hygiene 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-5ef4ff5413716a941148fc65a8fe117104819ee5b945eddff15526b63be355743</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553908/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553908/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31038100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deeba, Iztiba Mallik</creatorcontrib><creatorcontrib>Hasan, Md Mahbub</creatorcontrib><creatorcontrib>Al Mosabbir, Abdullah</creatorcontrib><creatorcontrib>Siam, Md Hasanul Banna</creatorcontrib><creatorcontrib>Islam, Muhammad Sougatul</creatorcontrib><creatorcontrib>Raheem, Enayetur</creatorcontrib><creatorcontrib>Hossain, Mohammad Sorowar</creatorcontrib><title>Manifestations of Atypical Symptoms of Chikungunya during the Dhaka Outbreak (2017) in Bangladesh</title><title>The American journal of tropical medicine and hygiene</title><addtitle>Am J Trop Med Hyg</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bangladesh - epidemiology</subject><subject>Chikungunya Fever - diagnosis</subject><subject>Chikungunya Fever - epidemiology</subject><subject>Chikungunya Fever - pathology</subject><subject>Chikungunya virus</subject><subject>Disease Outbreaks</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Public health</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkctr3DAQh0VoSTZpjrkGQS_JwalGL1uXQrJ9QkoObc9ibEtr7a7ljSwX9r-v86Q9Dcx8_GaYj5AzYFeSa_MB17nvrsAUDDg_IAuQpS5AS_WGLBhjvDBalEfkeBzXjEHFAQ7JkQAmKmBsQfAHxuDdmDGHIY508PQ673ehwS39ue93eegfm8subKa4muIeaTulEFc0d45-6nCD9G7KdXK4oRecQXlJQ6Q3GFdbbN3YvSNvPW5Hd_pcT8jvL59_Lb8Vt3dfvy-vb4tGgsqFcl56rySIEjQaCSAr32iFlXcAJTBZgXFO1UYq17beg1Jc11rUTihVSnFCPj7l7qa6d23jYk64tbsUekx7O2Cw_09i6Oxq-GO1UsKwag54_xyQhvtpfoldD1OK882Wcy0EcJBmpoonqknDOCbnXzcAsw9G7KMRC8Y-GJn583_PeqVfFIi_Z9CHoQ</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Deeba, Iztiba Mallik</creator><creator>Hasan, Md Mahbub</creator><creator>Al Mosabbir, Abdullah</creator><creator>Siam, Md Hasanul Banna</creator><creator>Islam, Muhammad Sougatul</creator><creator>Raheem, Enayetur</creator><creator>Hossain, Mohammad Sorowar</creator><general>Institute of Tropical Medicine</general><general>The American Society of Tropical Medicine and Hygiene</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20190101</creationdate><title>Manifestations of Atypical Symptoms of Chikungunya during the Dhaka Outbreak (2017) in Bangladesh</title><author>Deeba, Iztiba Mallik ; Hasan, Md Mahbub ; Al Mosabbir, Abdullah ; Siam, Md Hasanul Banna ; Islam, Muhammad Sougatul ; Raheem, Enayetur ; Hossain, Mohammad Sorowar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-5ef4ff5413716a941148fc65a8fe117104819ee5b945eddff15526b63be355743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bangladesh - epidemiology</topic><topic>Chikungunya Fever - diagnosis</topic><topic>Chikungunya Fever - epidemiology</topic><topic>Chikungunya Fever - pathology</topic><topic>Chikungunya virus</topic><topic>Disease Outbreaks</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Public health</topic><topic>Viruses</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deeba, Iztiba Mallik</creatorcontrib><creatorcontrib>Hasan, Md Mahbub</creatorcontrib><creatorcontrib>Al Mosabbir, Abdullah</creatorcontrib><creatorcontrib>Siam, Md Hasanul Banna</creatorcontrib><creatorcontrib>Islam, Muhammad Sougatul</creatorcontrib><creatorcontrib>Raheem, Enayetur</creatorcontrib><creatorcontrib>Hossain, Mohammad Sorowar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deeba, Iztiba Mallik</au><au>Hasan, Md Mahbub</au><au>Al Mosabbir, Abdullah</au><au>Siam, Md Hasanul Banna</au><au>Islam, Muhammad Sougatul</au><au>Raheem, Enayetur</au><au>Hossain, Mohammad Sorowar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Manifestations of Atypical Symptoms of Chikungunya during the Dhaka Outbreak (2017) in Bangladesh</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>100</volume><issue>6</issue><spage>1545</spage><epage>1548</epage><pages>1545-1548</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><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. 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| subjects | Adolescent Adult Bangladesh - epidemiology Chikungunya Fever - diagnosis Chikungunya Fever - epidemiology Chikungunya Fever - pathology Chikungunya virus Disease Outbreaks Epidemics Epidemiology Female Humans Infectious diseases Male Middle Aged Public health Viruses Young Adult |
| title | Manifestations of Atypical Symptoms of Chikungunya during the Dhaka Outbreak (2017) in Bangladesh |
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