@article{Sagar2024, 
author = {Rohit Sagar and Siva Raghavendhar and Vineet Jain and Naushad Khan and Anmol Chandele and Ashok Kumar Patel and Murali Kaja and Pratima Ray and Neera Kapoor},
title = {Viremia and clinical manifestations in acute febrile patients of Chikungunya infection during the 2016 CHIKV outbreak in Delhi, India},
year = {2024},
journal = {Infectious Medicine},
volume = {3},
number = {1},
pages = {100088},
keywords = {CHIKV, Clinical features, Viral load, Febrile patients, Outbreak},
url = {https://www.sciopen.com/article/10.1016/j.imj.2024.100088},
doi = {10.1016/j.imj.2024.100088},
abstract = {BackgroundChikungunya virus (CHIKV) is an infectious agent that caused several outbreaks among different countries and affected approximately 1.3 million Indian populations. It is transmitted by Aedes mosquito–either A. albopictus or A. aegypti. Generally, the clinical manifestations of CHIKV infection involve high-grade fever, joint pain, skin rashes, headache, and myalgia. The present study aims to investigate the relationship between the CHIKV virus load and clinical symptoms of the CHIKV infection so that better patient management can be done in the background of the CHIKV outbreak as there is no licensed anti-viral drug and approved vaccines available against CHIKV.MethodsCHIKV RTPCR positive samples (n = 18) (Acute febrile patients having D.O.F ≤ 7 days) were taken for the quantification of CHIKV viremia by Real-Time PCR. Clinical features of the febrile patients were recorded during the collection of blood samples.ResultsThe log mean virus load of 18 RT-PCR-positive samples was 1.3 × 106 copies/mL (1.21 × 103–2.33 × 108 copies/mL). Among the observed clinical features, the log mean virus load (CHIKV) of the patients without skin rash is higher than in the patients with skin rash (6.61 vs. 5.5, P = 0.0435).ConclusionThe conclusion of the study was that the patients with skin rashes had lower viral load and those without skin rashes had higher viral load.}
}