Mac Donald-Ottevanger M Sigrid, Gravenberch-Ramnandanlall Charleen I, Zijlmans C W R Wilco
Academisch Ziekenhuis Paramaribo, Paramaribo, Suriname.
Ned Tijdschr Geneeskd. 2015;159:A8403.
Chikungunya is a rapidly spreading infectious disease throughout the Caribbean, reaching epidemic proportions in Suriname, with more than 1200 registered cases in 2014. Similar to dengue, classic symptoms are high fever, rash and arthralgia. However, the presentation differs in adults and children. At the Academic Hospital Paramaribo in Suriname, three children had different presentations of chikungunya. An 11-year-old girl was referred to the paediatric centre with acute-onset fever of 40.5ºC, painful knees and a rash on face and arms. Koplik spots were visible on the inside of her mouth. A 13-year-old boy attended the ER with acute-onset fever and a state of reduced consciousness. Physical examination revealed hypotension, tachycardia and fever. No rash was observed. A 2.5-month-old baby with fever, vomiting, diarrhoea and a rash was brought to the ER. She was agitated and had signs of meningism. The symptoms resolved quickly in all patients after rehydration and pain medication.
基孔肯雅热是一种在整个加勒比地区迅速传播的传染病，在苏里南达到了流行程度，2014年登记病例超过1200例。与登革热相似，典型症状为高烧、皮疹和关节痛。然而，成人和儿童的症状表现有所不同。在苏里南帕拉马里博学术医院，有三名儿童出现了不同表现的基孔肯雅热。一名11岁女孩因突发40.5ºC高烧、膝盖疼痛以及面部和手臂出现皮疹被转诊至儿科中心。在她口腔内部可见柯氏斑。一名13岁男孩因突发高烧和意识减退前往急诊室。体格检查发现低血压、心动过速和发烧。未观察到皮疹。一名2.5个月大的婴儿因发烧、呕吐、腹泻和皮疹被带到急诊室。她烦躁不安，有脑膜刺激征迹象。所有患者在补液和使用止痛药物后症状迅速缓解。
