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Post-chikungunya chronic inflammatory rheumatism: Follow-up of cases after 1 year of infection in Tolima, Colombia
Consuegra Rodríguez, Mónika Patricia
Hidalgo-Zambrano, Diana Meliza
Vásquez-Serna, Heriberto
Jimenez-Canizales, Carlos E.
Parra-Valencia, Esteban
Rodriguez-Morales, Alfonso J.
Elsevier
2018
Introduction: Chronic Inflammatory Rheumatism (CIR) is one of the recognized and increasingly reported consequence post-chikungunya infection (pCHIK) in Colombia and Latin America. Methods: Retrospective cohortstudy of128 patients withCHIKthatpersisted withpCHIK-CIR after59–68weeks (1.13–1.31 years). This information was evaluated by means of a telephone survey and according to validated criteria (WHO 2015) previously (patients with>12 weeks post-CHIK with ≥1 manifestations [continuous/ recurrent]: chronic polyarthralgia [pCHIK-CPA], stiffness and/or joint edema). Results: Of the total CHIK-infected subjects finally included (n = 65), 28 (43.1%) reported pCHIK-CPA; and 38 patients (58.5%) at least one persistent rheumatological symptoms over the last year (pCHIK-CIR); 38.5% of them, morning stiffness, 18.5% joint edema, and 3.1% joint redness. No significant sex differences were found; 60% of patients with pCHIK-CPA aged>40 years (RR = 3.75; 95%CI 1.47–9.53). The 29.2% of patients required medical attention because of symptoms. Conclusions: Nearly half of patients with CHIK had at least one rheumatologic symptom persistent over a year, and the third of them, pCHIK-CPA. These results are comparable with previous estimates obtained in other cohorts in the country (Risaralda and Sucre) and are consistent with results from other studies in France and India.
Chikungunya virus
Arboviruses
Arthralgia
Persistence
Chronic pain
Colombia
Ciencias de la salud