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Post-chikungunya chronic inflammatory rheumatism: Follow-up of cases after 1 year of infection in Tolima, Colombia.

Abstract

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 cohort study of 128 patients with CHIK that persisted with pCHIK-CIR after 59-68 weeks (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.

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  • Authors+Show Affiliations

    ,

    Faculty of Health Sciences, Universidad Autónoma de Bucaramanga, Bucaramanga, Santander, Colombia.

    ,

    Ibagué Saludable Research Group, Secretary of Health, Ibagué, Tolima, Colombia; ESE Hospital Santa Bárbara de Venadillo, Venadillo, Tolima, Colombia; Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Colombia.

    ,

    Ibagué Saludable Research Group, Secretary of Health, Ibagué, Tolima, Colombia.

    ,

    Ibagué Saludable Research Group, Secretary of Health, Ibagué, Tolima, Colombia; ESE Hospital Santa Bárbara de Venadillo, Venadillo, Tolima, Colombia; Department of Internal Medicine, Faculty of Health Sciences, Universidad Surcolombiana, Neiva, Colombia; Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Colombia; Colombian Collaborative Network of Zika, Chikungunya and Other Arboviruses (RECOLZIKA), Pereira, Risaralda, Colombia.

    ,

    Colombian Collaborative Network of Zika, Chikungunya and Other Arboviruses (RECOLZIKA), Pereira, Risaralda, Colombia; Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile.

    Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Colombia; Colombian Collaborative Network of Zika, Chikungunya and Other Arboviruses (RECOLZIKA), Pereira, Risaralda, Colombia; Committee on Zoonoses, Tropical Medicine and Travel Medicine, Asociación Colombiana de Infectología (ACIN), Bogota, Colombia; Working Group on Zoonoses, International Society for Chemotherapy, Aberdeen, UK; Research Group Medical and Diagnostic Images (GRIMEID), IPS Imágenes Diagnósticas S.A., Pereira, Risaralda, Colombia; Medical School, Faculty of Health Sciences, UniFranz, Cochabamba, Bolivia. Electronic address: arodriguezm@utp.edu.co.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    29203304