Clinical Features and Molecular Diagnosis of Chikungunya Fever from South India
An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tes...
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| Published in | Clinical infectious diseases Vol. 46; no. 9; pp. 1436 - 1442 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Chicago, IL
The University of Chicago Press
01.05.2008
University of Chicago Press Oxford University Press |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1058-4838 1537-6591 1537-6591 |
| DOI | 10.1086/529444 |
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| Abstract | An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus-positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyping of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses. |
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| AbstractList | An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus—positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyping of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses. An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus-positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyping of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses.An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus-positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyping of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses. An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus-positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyplng of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses. An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus-positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyping of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses. [PUBLICATION ABSTRACT] |
| Author | Parida, M. M. Lakshmi, Vemu Santhosh, S. R. Dash, P. K. Rao, P. V. L. Neeraja, Mamidi Subbalaxmi, M. V. S. |
| AuthorAffiliation | 1 Department of Microbiology , Hyderabad 2 Department of Medicine, Nizam's Institute of Medical Sciences , Hyderabad 3 Department of Virology, Defence and Research and Development Establishment , Gwalior, India |
| AuthorAffiliation_xml | – name: 1 Department of Microbiology , Hyderabad – name: 2 Department of Medicine, Nizam's Institute of Medical Sciences , Hyderabad – name: 3 Department of Virology, Defence and Research and Development Establishment , Gwalior, India |
| Author_xml | – sequence: 1 givenname: Vemu surname: Lakshmi fullname: Lakshmi, Vemu email: lgorthi@hotmail.com organization: Department of Microbiology, Hyderabad – sequence: 2 givenname: Mamidi surname: Neeraja fullname: Neeraja, Mamidi organization: Department of Microbiology, Hyderabad – sequence: 3 givenname: M. V. S. surname: Subbalaxmi fullname: Subbalaxmi, M. V. S. organization: Department of Medicine, Nizam's Institute of Medical Sciences, Hyderabad – sequence: 4 givenname: M. M. surname: Parida fullname: Parida, M. M. organization: Department of Virology, Defence and Research and Development Establishment, Gwalior, India – sequence: 5 givenname: P. K. surname: Dash fullname: Dash, P. K. organization: Department of Virology, Defence and Research and Development Establishment, Gwalior, India – sequence: 6 givenname: S. R. surname: Santhosh fullname: Santhosh, S. R. organization: Department of Virology, Defence and Research and Development Establishment, Gwalior, India – sequence: 7 givenname: P. V. L. surname: Rao fullname: Rao, P. V. L. organization: Department of Virology, Defence and Research and Development Establishment, Gwalior, India |
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| Keywords | Infection Symptomatology Viral disease Arbovirus disease Chikungunya Diagnosis Fever |
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| Snippet | An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a... |
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| SubjectTerms | Adult Age Distribution Alphavirus Infections - diagnosis Alphavirus Infections - virology Arboviroses Biological and medical sciences Chikungunya virus Chikungunya virus - classification Chikungunya virus - genetics Disease outbreaks Diseases Epidemics Female Fever Fever - pathology Fever - virology Genotype Genotype & phenotype Genotypes Human viral diseases Humans India Infections Infectious diseases Male Medical diagnosis Medical sciences Medical tests Miscellaneous Molecular Diagnostic Techniques - methods Phylogeny Reverse transcriptase polymerase chain reaction Reverse Transcriptase Polymerase Chain Reaction - methods Review Review Articles Sex Distribution Symptoms Tropical viral diseases Viral diseases Viruses |
| Title | Clinical Features and Molecular Diagnosis of Chikungunya Fever from South India |
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