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RefWorks
Reference Manager
BibTeX
Zotero
EndNote
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Rezza G, El-Sawaf G, Faggioni G, Vescio F, Al Ameri R, De Santis R, Helaly G, Pomponi A, Metwally D, Fantini M, Qadi H, Ciccozzi M, Lista F, 2014. Co-circulation of dengue and chikungunya viruses, Al Hudaydah, Yemen, 2012. Emerg Infect Dis 20: 1351–1354.
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Chikungunya Virus Infections Among Patients with Dengue-Like Illness at a Tertiary Care Hospital in the Philippines, 2012–2013
John Mark Velasco
John Mark Velasco
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Maria Theresa Valderama
Maria Theresa Valderama
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Maria Nila Lopez
Maria Nila Lopez
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Domingo Chua Jr.
Domingo Chua Jr.
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Rene Latog II
Rene Latog II
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Vito Roque Jr.
Vito Roque Jr.
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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June Corpuz
June Corpuz
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Chonticha Klungthong
Chonticha Klungthong
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Prinyada Rodpradit
Prinyada Rodpradit
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Kittinun Hussem
Kittinun Hussem
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Yongyuth Poolpanichupatam
Yongyuth Poolpanichupatam
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Louis Macareo
Louis Macareo
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Stefan Fernandez
Stefan Fernandez
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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In-Kyu Yoon
In-Kyu Yoon
Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Armed Forces of the Philippines Medical Service School, Quezon City, Philippines; Department of Research and Training, Armed Forces of the Philippines Medical Center, Quezon City, Philippines; Epidemiology Bureau, Department of Health, Manila, Philippines
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Chikungunya virus (CHIKV) often co-circulates with dengue virus (DENV). A cross-sectional surveillance study was conducted at a tertiary hospital in Manila, Philippines, to describe the prevalence and characteristics of DENV and CHIKV infections among patients seeking care for dengue-like illness. Acute blood samples from patients ≥ 6 months of age clinically diagnosed with dengue from November 2012 to December 2013 underwent reverse transcription polymerase chain reaction (RT-PCR) to detect DENV and CHIKV RNA. A total of 118 patients with clinically diagnosed dengue (age range = 1–89 years, mean = 22 years; male-to-female ratio = 1.51) were tested by DENV RT-PCR; 40 (34%) were DENV PCR-positive (age range = 1–45 years, mean = 17 years). All DENV serotypes were detected: 11 (28%) DENV-1, 6 (15%) DENV-2, 6 (15%) DENV-3, and 17 (42%) DENV-4. Of 112 patients clinically diagnosed with dengue and tested by CHIKV RT-PCR, 11 (10%) were CHIKV PCR-positive (age range = 2–47 years, mean = 20.3 years). No coinfections were detected. Presenting signs/symptoms did not differ between DENV- and CHIKV-positive cases. Sequencing of envelope 1 gene from two CHIKV PCR-positive samples showed Asian genotype. This study highlights the potential for misdiagnosis of medically attended CHIKV infections as DENV infection and the difficulty in clinically differentiating dengue and chikungunya based on presenting signs/symptoms alone. This underscores the necessity for diagnostic laboratory tests to distinguish CHIKV infections in the background of actively co-circulating DENV.
Author Notes
Financial support: This study was funded by the U.S. Armed Forces Health Surveillance Center-Global Emerging Infections Surveillance and Response Systems (AFHSC-GEIS).
Authors' addresses: John Mark Velasco and Maria Theresa Valderama, Philippines-AFRIMS Virology Research Unit, V. Luna General Hospital, Armed Forces of the Philippines Medical Center, Quezon City, Philippines, E-mails: john.velasco.ca@afrims.org and valderamamg.ca@afrims.org. Maria Nila Lopez, Armed Forces of the Philippines Medical Service School, Quezon City, Philippines, E-mail: manila28@yahoo.com.ph. Domingo Chua Jr. and Rene Latog II, Department of Research and Training, V. Luna General Hospital, Armed Forces of the Philippines Medical Center, Quezon City, Philippines, E-mails: dachuajr@gmail.com and latogreneii@yahoo.com. Vito Roque Jr. and June Corpuz, Epidemiology Bureau, Department of Health, Manila, Philippines, E-mails: vitogroquejr@gmail.com and jcbcorpuz@gmail.com. Chonticha Klungthong, Prinyada Rodpradit, Kittinun Hussem, Yongyuth Poolpanichupatam, Louis Macareo, Stefan Fernandez, and In-Kyu Yoon, Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand, E-mails: chontichak.fsn@afrims.org, prinyadar.ca@afrims.org, kittinunh.fsn@afrims.org, yongyuthp.fsn@afrims.org, louis.macareo.mil@afrims.org, stefan.fernandez.mil@afrims.org, and inkyu.yoon.mil@afrims.org.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Strauss JH, Strauss EG, 1994. The alphaviruses: gene expression, replication, and evolution. Microbiol Rev 58: 491–562.
-
2.
Robinson MC, 1955. An epidemic of virus disease in Southern Province, Tanganyika Territory, in 1952–53. I. Clinical features. Trans R Soc Trop Med Hyg 49: 28–32.
-
3.
Hammon WM, Rudnick A, Sather GE, 1960. Viruses associated with epidemic hemorrhagic fevers of the Philippines and Thailand. Science 131: 1102–1103.
-
4.
Thiberville SD, Moyen N, Dupuis-Maguiraga L, Nougairede A, Gould EA, Roques P, de Lamballerie X, 2013. Chikungunya fever: epidemiology, clinical syndrome, pathogenesis and therapy. Antiviral Res 99: 345–370.
-
5.
Staples JE, Breiman RF, Powers AM, 2009. Chikungunya fever: an epidemiological review of a re-emerging infectious disease. Clin Infect Dis 49: 942–948.
-
6.
Borgherini G, Poubeau P, Jossaume A, Gouix A, Cotte L, Michault A, Arvin-Berod C, Paganin F, 2008. Persistent arthralgia associated with chikungunya virus: a study of 88 adult patients on Reunion Island. Clin Infect Dis 47: 469–475.
-
7.
Larrieu S, Pouderoux N, Pistone T, Filleul L, Receveur MC, Sissoko D, Ezzedine K, Malvy D, 2010. Factors associated with persistence of arthralgia among chikungunya virus-infected travellers: report of 42 French cases. J Clin Virol 47: 85–88.
-
8.
Pulmanausahakul R, Roytrakul S, Auewarakul P, Smith DR, 2011. Chikungunya in southeast Asia: understanding the emergence and finding solutions. Int J Infect Dis 15: e671–e676.
-
9.
Powers AM, Logue CH, 2007. Changing patterns of chikungunya virus: re-emergence of a zoonotic arbovirus. J Gen Virol 88: 2363–2377.
-
10.
Renault P, Solet JL, Sissoko D, Balleydier E, Larrieu S, Filleul L, Lassalle C, Thiria J, Rachou E, de Valk H, Ilef D, Ledrans M, Quatresous I, Quenel P, Pierre V, 2007. A major epidemic of chikungunya virus infection on Reunion Island, France, 2005–2006. Am J Trop Med Hyg 77: 727–731.
-
11.
Ramful D, Carbonnier M, Pasquet M, Bouhmani B, Ghazouani J, Noormahomed T, Beullier G, Attali T, Samperiz S, Fourmaintraux A, Alessandri JL, 2007. Mother-to-child transmission of chikungunya virus infection. Pediatr Infect Dis J 26: 811–815.
-
12.
Lanciotti RS, Valadere AM, 2014. Transcontinental movement of Asian genotype chikungunya virus. Emerg Infect Dis 20: 1400–1402.
-
13.
Omarjee R, Prat C, Flusin O, Boucau S, Tenebray B, Merle O, Huc-Anais P, Cassadou S, Leparc-Goffart I, 2014. Importance of case definition to monitor ongoing outbreak of chikungunya virus on a background of actively circulating dengue virus, St. Martin, December 2013 to January 2014. Euro Surveill 19: pii: 20753.
-
14.
Roth A, Mercier A, Lepers C, Hoy D, Duituturaga S, Benyon E, Guillaumot L, Souares Y, 2014. Concurrent outbreaks of dengue, chikungunya and Zika virus infections—an unprecedented epidemic wave of mosquito-borne viruses in the Pacific 2012. Euro Surveill 19: pii: 20929.
-
15.
Lertanekawattana S, Anantapreecha S, Jiraphongsa C, Duan-ngern P, Potjalongsin S, Wiittayabamrung W, Daroon P, Techolarn M, 2013. Prevalence and characteristics of dengue and chikungunya infections among acute febrile patients in Nong Khai Province, Thailand. Southeast Asian J Trop Med Public Health 44: 780–790.
-
16.
Rezza G, El-Sawaf G, Faggioni G, Vescio F, Al Ameri R, De Santis R, Helaly G, Pomponi A, Metwally D, Fantini M, Qadi H, Ciccozzi M, Lista F, 2014. Co-circulation of dengue and chikungunya viruses, Al Hudaydah, Yemen, 2012. Emerg Infect Dis 20: 1351–1354.
-
17.
Laoprasopwattana K, Kaewjungwad L, Jarumanokul R, Geater A, 2012. Differential diagnosis of chikungunya, dengue viral infection and other acute febrile illnesses in children. Pediatr Infect Dis J 31: 459–463.
-
18.
Nimmannitya S, Halstead SB, Cohen SN, Margiotta MR, 1969. Dengue and chikungunya virus infection in man in Thailand, 1962–1964. I. Observations on hospitalized patients with hemorrhagic fever. Am J Trop Med Hyg 18: 954–971.
-
19.
Campos LE, San Juan A, Cenabre LC, Almagro EF, 1969. Isolation of chikungunya virus in the Philippines. Acta Med Philipp 5: 152–155.
-
20.
Gutierrez-Rubio A, Magbitang A, Penserga E, 2014. A three-month follow up of musculoskeletal manifestations in chikungunya fever. Philippine J Int Med 52: 1–5.
-
21.
Retuya T, Ting D, Dacula B, 1998. Chikungunya fever outbreak in an agricultural village in Indang, Cavite, Philippines. Philipp J Microbiol Infect Dis 27: 93–96.
-
22.
Macasaet FF, 1970. Further observation on chikungunya fever. J Philippines Med Assoc 46: 235–242.
-
23.
Hayes CG, O'Rourke TF, Sarr A, 1986. Chikungunya fever among U.S. Peace Corps volunteers—Republic of the Philippines. MMWR 35: 573–574.
-
24.
Tesh RB, Gajdusek DC, Garruto RM, Cross JH, Rosen L, 1975. The distribution and prevalence of group A arbovirus neutralizing antibodies among human populations in southeast Asia and the Pacific islands. Am J Trop Med Hyg 24: 664–675.
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