A comparative study of clinical features between monotypic and dual infection cases with Chikungunya virus and dengue virus in West Bengal, India

Am J Trop Med Hyg. 2012 Apr;86(4):720-3. doi: 10.4269/ajtmh.2012.11-0704.

Abstract

Chikungunya virus (CHIKV) and dengue virus (DENV) are circulating individually in the state of West Bengal, India. However, after 1965 the dual-infection caused by both viruses had not been recorded until 2010. In 2010, an investigation of the febrile cases was carried out to confirm the involvement of both viruses simultaneously. A total of 550 blood samples were tested for the detection of immunoglobulin M (IgM) antibody against both CHIKV and DENV. Serology by the enzyme-linked immunosorbent assay method confirmed that 131 (23.8%) and 104 (18.9%) patients had IgM antibody against CHIKV and DENV, respectively, whereas 68 (12.4%) had IgM antibodies against both CHIKV and DENV. Fever, joint pain, rashes, headache, myalgia, and nausea/vomiting are the common features in the case of both monotypic and dual-infection. Severe arthralgia and swelling of joints were common only in CHIKV-positive cases and abdominal pain was mainly associated with DENV infection. Diarrhea was reported only by the dual-infected patients (16.2%).

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alphavirus Infections / complications
  • Alphavirus Infections / epidemiology*
  • Alphavirus Infections / virology
  • Antibodies, Viral / blood
  • Arthralgia / complications
  • Arthralgia / pathology
  • Arthralgia / virology
  • Chikungunya virus / pathogenicity*
  • Child
  • Child, Preschool
  • Coinfection / complications
  • Coinfection / epidemiology*
  • Coinfection / virology
  • Dengue / complications
  • Dengue / epidemiology*
  • Dengue / virology
  • Dengue Virus / pathogenicity*
  • Disease Outbreaks*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immunoglobulin M / blood
  • India / epidemiology
  • Infant
  • Male
  • Middle Aged
  • Young Adult

Substances

  • Antibodies, Viral
  • Immunoglobulin M