Chikungunya in the context of Aedes albopictus


Chikungunya in the context of Aedes albopictus

⭐ Core Definition: Chikungunya

Chikungunya is an infection caused by the chikungunya virus. The most common symptoms are fever and joint pain, typically occurring four to eight days after the bite of an infected mosquito; however some people may be infected without showing any symptoms. Other symptoms may include headache, muscle pain, joint swelling, and a rash. Symptoms usually improve within a week; however, occasionally the joint pain may last for months or years. The very young, old, and those with other health problems are at risk of more severe disease.

The virus is spread between people by two species of mosquito in the genus Aedes: Aedes albopictus and Aedes aegypti, which mainly bite during the day, particularly around dawn and in the late afternoon. The virus may circulate within a number of animals, including birds and rodents. Diagnosis is done by testing the blood for either viral RNA or antibodies to the virus. The symptoms can be mistaken for those of dengue fever and Zika fever, which are spread by the same mosquitoes. It is believed most people become immune after a single infection.

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Chikungunya in the context of Mosquito-borne disease

Mosquito-borne diseases or mosquito-borne illnesses are diseases caused by bacteria, viruses or parasites transmitted by mosquitoes. Nearly 700 million people contract mosquito-borne illnesses each year, resulting in nearly a million deaths.

Diseases transmitted by mosquitoes include malaria, dengue, West Nile virus, chikungunya, yellow fever, filariasis, tularemia, dirofilariasis, Japanese encephalitis, Saint Louis encephalitis, Western equine encephalitis, Eastern equine encephalitis, Venezuelan equine encephalitis, Ross River fever, Barmah Forest fever, La Crosse encephalitis, and Zika fever, as well as newly detected Keystone virus and Rift Valley fever. A preprint by Australian research group argues that Mycobacterium ulcerans, the causative pathogen of Buruli ulcer is also transmitted by mosquitoes.

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Chikungunya in the context of Aedes aegypti

Aedes aegypti (/ˈdz ˈɪpti/; US: /dz -, ˈdz -/; from Ancient Greek αηδής (aēdḗs) 'unpleasant' and Latin aegyptī 'Egyptian') – sometimes called the Egyptian mosquito, dengue mosquito, or yellow fever mosquito – is a mosquito that spreads diseases such as dengue fever, yellow fever, and chikungunya. The mosquito can be recognized by black and white markings on its legs and a marking in the form of a lyre on the upper surface of its thorax. The mosquito is native to north Africa, but is now a common invasive species that has spread to tropical, subtropical, and temperate regions throughout the world.

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Chikungunya in the context of Dengue virus

Dengue virus (DENV) is the cause of dengue fever. It is a mosquito-borne, single positive-stranded RNA virus of the family Flaviviridae; genus Orthoflavivirus. Four serotypes of the virus have been found, and a reported fifth has yet to be confirmed, all of which can cause the full spectrum of disease. Nevertheless, the mainstream scientific community's understanding of dengue virus may be simplistic as, rather than distinct antigenic groups, a continuum appears to exist. This same study identified 47 strains of dengue virus. Additionally, coinfection with and lack of rapid tests for Zika virus and chikungunya complicate matters in real-world infections.

Dengue virus has increased dramatically within the last 20 years, becoming one of the worst mosquito-borne human pathogens that tropical countries have to deal with. Estimates published in 2013 indicate that as many as 390 million infections occur each year, and many dengue infections are increasingly understood to be asymptomatic or subclinical.

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Chikungunya in the context of Maculopapular rash

A maculopapular rash is a type of rash characterized by a flat, red area on the skin that is covered with small confluent bumps. It may only appear red in lighter-skinned people. The term "maculopapular" is a compound: macules are small, flat discolored spots on the surface of the skin; and papules are small, raised bumps. It is also described as erythematous, or red.

This type of rash is common in several diseases and medical conditions, including scarlet fever, measles, Ebola virus disease, rubella, HIV, secondary syphilis (congenital syphilis, which is asymptomatic, the newborn may present this type of rash), erythrovirus (parvovirus B19), chikungunya (alphavirus), Zika fever, smallpox (which has been eradicated), varicella (when vaccinated persons exhibit symptoms from the modified form), heat rash, and sometimes dengue fever. It is also a common manifestation of a skin reaction to the antibiotic amoxicillin or chemotherapy drugs. Cutaneous infiltration of leukemic cells may also have this appearance. Maculopapular rash is seen in graft-versus-host disease (GVHD) developed after a hematopoietic stem cell transplant (bone marrow transplant), which can be seen within one week or several weeks after the transplant. In the case of GVHD, the maculopapular lesions may progress to a condition similar to toxic epidermal necrolysis. In addition, this is the type of rash that some patients presenting with Ebola virus hemorrhagic (EBO-Z) fever will reveal but can be hard to see on dark skin people. It is also seen in patients with Marburg hemorrhagic fever, a filovirus not unlike Ebola.

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