Subacute and chronic symptoms of chikungunya fever in a group of adults in Colombia
Abstract
Introduction: In Colombia, chikungunya fever creates a warning in public health that extends over time given the subacute and chronic characteristics of the disease.
Objective: To describe subacute and chronic symptoms in adult people who suffered chikungunya fever in the city of Ibagué, Colombia.
Materials and methods: We conducted a descriptive study with snowball sampling in 368 adults from all the communes of Ibagué, Colombia, who had symptoms of chikungunya fever spanning for more than 12 days.
Results: The joints that showed the greatest pain in the subacute and chronic phase of the disease were the hands with 84.2%, knees with 72.8%, and ankles with 69.3%. The soles of the feet were the non-articular areas with greater frequency of pain (48.8%). Joint pain in the hands (p=0.017) and ankles (p=0.001) and pain in the soles of the feet (p=0.002) were significant in women. General fatigue occurred in 58.9% of the subjects and in 2.4% of the population, it lasted for more than a year.
Conclusions: The symptoms of the subacute and chronic phase of chikungunya fever were the same reported in the literature, they lasted up to a year or more, and decreased in intensity over time. The referred symptoms were more common in women than in men.
Downloads
References
Rivera-Ávila RC. Fiebre Chikungunya en México: caso confirmado y apuntes para la respuesta epidemiológica. Salud Pública Mex. 2014;56:402-4.
Instituto Nacional de Salud. Boletín epidemiológico semanal. Semana 52 del 2015. Bogotá: Instituto Nacional de Salud; 2015. Fecha de consulta: 27 de abril de 2017. Disponible en: http://www.ins.gov.co/boletin-epidemiologico/Boletn%20Epidemiolgico/2015%20Boletin%20epidemiologico%20Semana%2052.pdf
Instituto Nacional de Salud. Boletín epidemiológico semanal: semana 52 del 2016. Bogotá: Instituto Nacional de Salud; 2016. Fecha de consulta: 27 de abril de 2017. Disponible en: http://www.ins.gov.co/boletin-epidemiologico/Boletn%20Epidemiolgico/2016%20Bolet%C3%ADn%20epidemiol%C3%B3gico%20semana%2052%20-.pdf
Instituto Nacional de Salud. Chikungunya a semana 52 del 2015. Bogotá: Instituto Nacional de Salud; 2015. Fecha de consulta: 27 de abril de 2017. Disponible en: http://www.ins.gov.co/Noticias/Chikungunya/Resumen%20Chikungu%C3%B1a%20SEMANA%2052%202015.pdf
Instituto Nacional de Salud. Chikungunya a semana 26 del 2016. Bogotá: Instituto Nacional de Salud; 2016. Fecha de consulta: 27 de abril de 2017. Disponible en: http://www.ins.gov.co/Noticias/Chikungunya/Resumen%20Chikungu%C3%B1a%20SEMANA%2026%202016.pdf
Frías JA. Actualización de aspectos clínicos epidemiológicos de la fiebre Chikungunya 2014. Rev Sanid Milit Mex. 2014;68:313-7.
Organización Panamericana de la Salud-OPS, Centers for Disease Control and Prevention, CDC. Preparación y respuesta ante la eventual introducción del virus Chikungunya en las Américas. Washington, D.C.: OPS; 2011. Fecha de consulta: 29 de junio de 2015. Disponible en: http://www.binasss.sa.cr/Chikungunya/cdc.pdf
de Andrade DC, Jean S, Clavelou P, Dallel R, Bouhassira D. Chronic pain associated with the Chikungunya fever: Long lasting burden of an acute illness. BMC Infect Dis. 2010;10:31. https://doi.org/10.1186/1471-2334-10-31
Foissac M, Javelle E, Ray S, Guérin B, Simon F. Post-chikungunya rheumatoid arthritis, Saint Martin. Emerg Infect Dis. 2015;21:530-2. https://doi.org/10.3201/eid2103.141397
Pardo C, Muñoz T, Chamorro C. Monitorización del dolor: recomendaciones del grupo de trabajo de analgesia y sedación de la SEMICYUC. Med Intensiva. 2006;30:379-85.
Gérardin P, Couderc T, Bintner M, Tournebize P, Renouil M, Lémant J, et al. Chikungunya virus-associated encephalitis: A cohort study on La Réunion Island, 2005-2009. Neurology. 2016;86:94-102. https://doi.org/10.1212/WNL.0000000000002234
Wielanek AC, Monredon JD, Amrani ME, Roger JC, Serveaux JP. Guillain-Barré syndrome complicating a chikungunya virus infection. Neurology. 2007;69:2105-7. https://doi.org/10.1212/01.wnl.0000277267.07220.88
Bouhassira D1, Lantéri-Minet M, Attal N, Laurent B, Touboul C. Prevalence of chronic pain with neuropathic characteristics in the general population. Pain. 2008;136:380-7. https://doi.org/10.1016/j.pain.2007.08.013
Ochoa-Tapia E, Hernández-Hernández A, Gordillo-Martínez M, Palacios-Stempreiss A. Evaluación clínica y de laboratorio en pacientes sospechosos o confirmados de fiebre de chikungunya. Atención Familiar. 2017;24:51-5. https://doi.org/10.1016/j.af.2017.04.002
Méndez N, Baeza-Herrera L, Ojeda-Baranda R, Huchim-Lara O, Gómez-Carro S. Perfil clínico epidemiológico de la infección por chikungunya en casos hospitalarios atendidos en 2015 en Mérida, México. Rev Panam Salud Pública. 2017;41:e91.
Rodríguez-Morales A, Gil-Restrepo A, Ramírez-Jaramillo V, Montoya-Arias C, Acevedo-Mendoza W, Bedoya-Arias J, et al. Post-chikungunya chronic inflammatory rheumatism: Results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia. F1000Res. 2016;5:360. https://doi.org/10.12688/f1000research.8235.2
Bouquillard É, Combe B. A report of 21 cases of rheumatoid arthritis following chikungunya fever. A mean follow-up of two years. Joint Bone Spine. 2009;76:654-7. https://doi.org/10.1016/j.jbspin.2009.08.005
Jaller-Raad J, Sánchez-Rincones W, Santrich-Martínez A, Sierra-Hernández A, Fonseca-Estrada Y, Parody A, et al. Caracterización clínica de sujetos infectados con virus chikungunya en una población del Caribe colombiano. Rev Col Reumatol. 2016;23:170-6. https://doi.org/10.1016/j.rcreu.2016.06.001
Jerez-Solís I, Thompson-Barberena V. Comportamiento clínico de los casos chikungunya confirmados por serología en todas las fases de la enfermedad en el área urbana del municipio de Juigalpa en el período enero a junio 2015 Managua: Universidad Nacional Autónoma de Nicaragua; 2015. Fecha de consulta: 17 de julio de 2017. Disponible en: http://repositorio.unan.edu.ni/1350/1/18357.pdf
Moro M, Grilli E, Corvetta A, Silvi G, Angelini R, Mascella F, et al. Long-term Chikungunya infection clinical manifestations after an outbreak in Italy: A prognostic cohort study. J Infect. 2012;65:165-72. https://doi.org/10.1016/j.jinf.2012.04.005
Mejía C, López-Vélez R. Alfavirus tropicales artritogénicos. Reumatol Clin. 2018;14:97-105. https://doi.org/10.1016/j.reuma.2017.01.006
Maganto VV, Mingote-Adán JC, López-Espino M. Dolor. Madrid: Ediciones Díaz de Santos; 2015. p. 70.
Some similar items:
- Marcela Conde, Lorena I. Orjuela, Cesar Augusto Castellanos, Manuela Herrera-Varela, Susana Licastro, Martha L. Quiñones, Insecticide susceptibility evaluation in Aedes aegypti populations of Caldas, Colombia, in 2007 and 2011 , Biomedica: Vol. 35 No. 1 (2015)
- Mauricio Hernández, Diana Arboleda, Stephania Arce, Allan Benavides, Paola Andrea Tejada, Sindy Vanessa Ramírez, Ángela Cubides, Methodology to develop endemic channels and notification trends for dengue in Valle del Cauca, Colombia, 2009-2013 , Biomedica: Vol. 36 (2016): Suplemento 2, Enfermedades virales
- Sandy Milena Caldera, María Cristina Jaramillo, Suljey Cochero, Alveiro Pérez-Doria, Eduar Elías Bejarano, Genetic differences between populations of Aedes aegypti from municipalities in northern Colombia, with high and low dengue incidence , Biomedica: Vol. 33 (2013): Suplemento 1, Fiebres hemorrágicas
- José Joaquín Carvajal, Ligia Inés Moncada, Mauricio Humberto Rodríguez, Ligia del Pilar Pérez, Víctor Alberto Olano, Characterization of Aedes albopictus (Skuse, 1894) (Diptera:Culicidae) larval habitats near the Amazon River in Colombia , Biomedica: Vol. 29 No. 3 (2009)
- José Joaquín Carvajal, Nildimar Alves Honorio, Silvia Patricia Díaz, Edinso Rafael Ruiz, Jimmy Asprilla, Susanne Ardila, Gabriel Parra-Henao, Detection of Aedes albopictus (Skuse) (Diptera: Culicidae) in the municipality of Istmina, Chocó, Colombia , Biomedica: Vol. 36 No. 3 (2016)
- Manuel Muñoz, Juan Carlos Navarro, Mayaro: A re-emerging Arbovirus in Venezuela and Latin America , Biomedica: Vol. 32 No. 2 (2012)
- María Claudia Atencia, María de Jesús Pérez, María Cristina Jaramillo, Sandy Milena Caldera, Suljey Cochero, Eduar Elías Bejarano, First report of the F1534C mutation associated with cross-resistance to DDT and pyrethroids in Aedes aegypti from Colombia , Biomedica: Vol. 36 No. 3 (2016)
- Berta Nelly Restrepo, Leidy Diana Piedrahita, Ivony Yireth Agudelo, Katherine Marín, Ruth Ramírez, Dengue infection: A common cause of febrile syndrome in patients from Quibdó, Chocó, Colombia , Biomedica: Vol. 35 No. 1 (2015)
- Astrid Berena Herrera, Laura A. Rodríguez, Jürg Niederbacher, Biological pollution and its relationship with respiratory symptoms indicative of asthma, Bucaramanga, Colombia , Biomedica: Vol. 31 No. 3 (2011)
- María Elena Cuéllar-Jiménez, Olga Lucía Velásquez-Escobar, Ranulfo González-Obando, Carlos Andrés Morales-Reichmann, Detection of Aedes albopictus (Skuse) (Diptera: Culicidae) in the city of Cali, Valle del Cauca, Colombia , Biomedica: Vol. 27 No. 2 (2007)
Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |