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Case Reports and Images in Medicine

 
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Residual periarticular complications of chikungunya virus infection in Mauritius
Khadijah Dawood Essackjee1, Smita Goorah2
1MPhil, University of Mauritius – MPhil graduate, Department of Medicine, University of Mauritius.
2MRCP, University of Mauritius – Associate Professor, Department of Medicine, University of Mauritius.

Article ID: 100018Z09KE2016
doi:10.5348/Z09-2016-18-CS-11

Address correspondence to:
Dr. Smita Goorah
Department of Medicine, Faculty of Science
University of Mauritius, Reduit
Mauritius

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How to cite this article:
Essackjee KD, Goorah S. Residual periarticular complications of chikungunya virus infection in Mauritius. J Case Rep Images Med 2016;2:44–49.


Abstract
Introduction: The tropical island of Mauritius has experienced two mosquito-borne chikungunya fever outbreaks in recent years. Acute symptoms of chikungunya fever are well described and commonly include an acute onset fever, severe arthralgia and rash accompanied by myalgia and headache. In most cases, there is complete resolution of symptoms. However, residual joint symptoms such as persistent polyarthralgia, joint stiffness, joint swelling and joint effusion have been reported in literature. Residual periarticular features are less well-known. Residual articular and periarticular manifestations were investigated more than two years after initial chikungunya infection in a selected cohort of affected people in Mauritius.
Case Series: Herein, we presented three clinical cases which describe interesting residual periarticular features post-chikungunya infection. These features include the manifestation of a swelling near the ankle joint, the persistence of a subcutaneous nodule near the wrist joint, the manifestation of tenosynovitis and the development of a prominent bony knee swelling in patients.
Conclusion: Periarticular manifestations are seen more than two years after chikungunya fever suggesting persistence of long-term sequelae.

Keywords: Chikungunya virus, Clinical case reports, Musculoskeletal complications, Residual periarticular complications


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Author Contributions:
Khadijah Dawood Essackjee – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Smita Goorah – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Khadijah Dawood Essackjee et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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