Chikungunya

Low urgency
Common-

It is a disease caused by a virus transmitted by the bite of a mosquito. It appears in warm climates with stagnant water, where mosquitoes breed: Africa and Asia mainly. 

It manifests with high fever for 3–5 days, followed by red spots on the skin and very intense and disabling pain in distal joints (hands, wrists, ankles). Furthermore, it presents with intermittent outbreaks during months.

Diagnosis is clinical by interrogation of symptoms and physical examination; it can be confirmed by laboratory blood tests.

There is no specific treatment or vaccine, only pain and fever relief. The best way to prevent it is by controlling mosquito infestations and avoiding mosquito bites.

Generally, a doctor is consulted if symptoms persist, since it is not a medical emergency.

Bibliographic references
  1. Mary Elizabeth Wilson, MD. Chikungunya fever. UpToDate. Jul 28, 2016.
  2. Charrel RN, de Lamballerie X, Raoult D. Chikungunya outbreaks--the globalization of vectorborne diseases. N Engl J Med 2007; 356:769.
  3. Lakshmi V, Neeraja M, Subbalaxmi MV, et al. Clinical features and molecular diagnosis of Chikungunya fever from South India. Clin Infect Dis 2008; 46:1436.
  4. Taubitz W, Cramer JP, Kapaun A, et al. Chikungunya fever in travelers: clinical presentation and course. Clin Infect Dis 2007; 45:e1.
  5. Simon F, Javelle E, Cabie A, et al. French guidelines for the management of chikungunya (acute and persistent presentations). November 2014. Med Mal Infect 2015; 45:243.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Joint pain both during movement and rest


    Reddened skin


    Pain in more than one joint


    Fever / Feel very hot


    Toe joint pain

Symptoms to watch out for

Difficulty breathing
Headache
If it is accompanied by seizures
Neck stiffness
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Maintain a fluid intake of 6 - 8 cups per day.
Relative rest, rest until symptoms subside.