A rare case of chikungunya encephalitis and its management: A case report and literature review

Key Clinical Message Chikungunya encephalitis, though rare, warrants clinical attention due to its severe complications. Early identification and appropriate management are crucial for improved outcomes in patients with this rare manifestation of chikungunya virus (CHIKV) infection. CHIKV infection...

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Bibliographic Details
Published in:Clinical case reports 2024-03, Vol.12 (3), p.e8656-n/a
Main Authors: Inban, Pugazhendi, Chandrasekaran, Sai Harini, Yadav, Preeti Kumari, Vijayakumar, Roshini, Elavia, Zenia, Singh, Mansi
Format: Article
Language:English
Subjects:
Analgesics
Blood tests
Case Report
Case reports
Cerebrospinal fluid
Chikungunya virus
chikungunya virus RNA
Consciousness
Encephalitis
Epidemics
Fever
Glasgow Coma Scale
Infections
intravenous immunoglobulin
Leukopenia
Magnetic resonance imaging
Medical imaging
Mosquitoes
Nervous system
Neuroimaging
Neurology
Pain
Proteins
Radiology & Imaging
Respiratory Medicine
Serology
Thrombocytopenia
Virology
Writing
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Summary:Key Clinical Message Chikungunya encephalitis, though rare, warrants clinical attention due to its severe complications. Early identification and appropriate management are crucial for improved outcomes in patients with this rare manifestation of chikungunya virus (CHIKV) infection. CHIKV infection is commonly associated with fever and joint pains, but neurological complications such as encephalitis are rare. Here, we present a unique case of confirmed chikungunya encephalitis in a 12‐year‐old male exhibiting atypical neurological symptoms. The diagnostic journey involved comprehensive neuroimaging and serological investigations, revealing intriguing findings on magnetic resonance imaging and positive CHIKV RNA in serum and cerebrospinal fluid. We discuss the clinical presentation, radiological characteristics, and management strategies, emphasizing the importance of recognizing this uncommon neurological manifestation of CHIKV infection.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.8656