Paganin Fabrice, Borgherini Giannandrea, Staikowsky Frédéric, Arvin-Berod Claude, Poubeau Patrice
Service de Pneumologie et Maladies Infectieuses, Groupe Hospitalier Sud Réunion, St Pierre, Réunion.
Presse Med. 2006 Apr;35(4 Pt 2):641-6. doi: 10.1016/s0755-4982(06)74657-7.
Chikungunya is a viral disease transmitted by a mosquito of the genus Aedes. It is currently epidemic on Reunion Island, in the Indian Ocean. It is essentially characterized by an influenza syndrome but associated with polyarthralgia and an eruption. The disabling and chronic nature of the arthralgia is the most remarkable clinical aspect of chikungunya infection. Severe and unusual forms have appeared, not previously described in the literature. These forms must be studied to determine whether there is a direct relation between the chikungunya virus and the severity factors. Treatment is solely symptomatic, combining analgesic and/or antiinflammatory agents. There is no vaccine. The epidemic is not limited to Reunion: cases of chikungunya have also been reported in neighboring islands (Maurice, Seychelles, and Madagascar). Travelers planning to visit the region should be counseled.
基孔肯雅热是一种由伊蚊属蚊子传播的病毒性疾病。目前在印度洋的留尼汪岛流行。其主要特征为流感样综合征，但伴有多关节疼痛和皮疹。关节疼痛的致残性和慢性是基孔肯雅热感染最显著的临床特征。已出现严重且不寻常的病例，此前文献中未曾描述过。必须对这些病例进行研究，以确定基孔肯雅病毒与严重程度因素之间是否存在直接关联。治疗仅为对症治疗，联合使用止痛和/或抗炎药物。目前尚无疫苗。疫情并不局限于留尼汪岛：邻近岛屿（毛里求斯、塞舌尔和马达加斯加）也报告了基孔肯雅热病例。应向计划前往该地区的旅行者提供咨询。
