ATYPICAL COMPLICATIONS OF CHIKUNGUNYA VIRUS INFECTION: A CASE REPORT

Abstract

Background:
Chikungunya is a viral pathology mainly transmitted by Aedes mosquitoes , and the most important symptom is fever accompanied with severe arthralgia. Although the majority of the patients have mild self-limited course of the disease, serious complications may occur especially in some demographic groups.
Case Presentation:
We report here the case of a 53-year-old male businessman from Baluchistan who presented with 10 day history of fever with myalgia and shortness of breath. His emergency investigations revealed elevated urea and creatinine with positive serology to Chikungunya virus. He subsequently developed acute axonal sensorimotor polyneuropathy, viral-induced pancreatitis, coagulopathy, and acute kidney injury during his hospital course. He was managed with intravenous corticosteroids, supportive care, and hemodialysis as indicated. He improved symptomatically and tolerates orally diet with normalization of renal function before discharge.
Conclusion:
This case demonstrates the capacity for uncommon and impactful disease sequelae secondary to Chikungunya virus infections. This highlights the necessity for a high index of clinical suspicion and a multi-disciplinary approach to the diagnosis of patients presenting with atypical symptoms
Keywords:
Atypical complications, Acute polyneuropathy, Chikungunya virus, Coagulopathy, Pancreatitis