Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]

Objective: There are limited studies in Latin America regarding the chronic consequences of the Chikungunya virus (CHIK), such as post-CHIK chronic inflammatory rheumatism (pCHIK-CIR). We assessed the largest cohort so far of pCHIK-CIR in Latin America, at the municipality of La Virginia, Risaralda,...

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Main Authors: Alfonso J. Rodriguez-Morales, Andrés F. Gil-Restrepo, Valeria Ramírez-Jaramillo, Cindy P. Montoya-Arias, Wilmer F. Acevedo-Mendoza, Juan E. Bedoya-Arias, Laura A. Chica-Quintero, David R. Murillo-García, Juan E. García-Robledo, Juan D. Castrillón-Spitia, Jose J. Londoño, Hector D. Bedoya-Rendón, Javier de Jesús Cárdenas-Pérez, Jaime A. Cardona-Ospina, Guillermo J. Lagos-Grisales
Format: Article
Language:English
Published: F1000 Research Ltd 2016-03-01
Series:F1000Research
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Online Access:http://f1000research.com/articles/5-360/v1
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author Alfonso J. Rodriguez-Morales
Andrés F. Gil-Restrepo
Valeria Ramírez-Jaramillo
Cindy P. Montoya-Arias
Wilmer F. Acevedo-Mendoza
Juan E. Bedoya-Arias
Laura A. Chica-Quintero
David R. Murillo-García
Juan E. García-Robledo
Juan D. Castrillón-Spitia
Jose J. Londoño
Hector D. Bedoya-Rendón
Javier de Jesús Cárdenas-Pérez
Jaime A. Cardona-Ospina
Guillermo J. Lagos-Grisales
author_facet Alfonso J. Rodriguez-Morales
Andrés F. Gil-Restrepo
Valeria Ramírez-Jaramillo
Cindy P. Montoya-Arias
Wilmer F. Acevedo-Mendoza
Juan E. Bedoya-Arias
Laura A. Chica-Quintero
David R. Murillo-García
Juan E. García-Robledo
Juan D. Castrillón-Spitia
Jose J. Londoño
Hector D. Bedoya-Rendón
Javier de Jesús Cárdenas-Pérez
Jaime A. Cardona-Ospina
Guillermo J. Lagos-Grisales
author_sort Alfonso J. Rodriguez-Morales
collection DOAJ
description Objective: There are limited studies in Latin America regarding the chronic consequences of the Chikungunya virus (CHIK), such as post-CHIK chronic inflammatory rheumatism (pCHIK-CIR). We assessed the largest cohort so far of pCHIK-CIR in Latin America, at the municipality of La Virginia, Risaralda, a new endemic area of CHIK in Colombia. Methods: We conducted a cohort retrospective study in Colombia of 283 patients diagnosed with CHIK that persisted with pCHIK-CIR after a minimum of 6 weeks and up to a maximum of 26.1 weeks. pCHIK cases were identified according to validated criteria via telephone. Results: Of the total CHIK-infected subjects, 152 (53.7%) reported persistent rheumatological symptoms (pCHIK-CIR). All of these patients reported joint pains (chronic polyarthralgia, pCHIK-CPA), 49.5% morning stiffness, 40.6% joint edema, and 16.6% joint redness. Of all patients, 19.4% required and attended for care prior to the current study assessment (1.4% consulting rheumatologists). Significant differences in the frequency were observed according to age groups and gender. Patients aged >40 years old required more medical attention (39.5%) than those ≤40 years-old (12.1%) (RR=4.748, 95%CI 2.550-8.840). Conclusions: According to our results, at least half of the patients with CHIK developed chronic rheumatologic sequelae, and from those with pCHIK-CPA, nearly half presented clinical symptoms consistent with inflammatory forms of the disease. These results support previous estimates obtained from pooled data of studies in La Reunion (France) and India and are consistent with the results published previously from other Colombian cohorts in Venadillo (Tolima) and Since (Sucre).
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spelling doaj.art-abf3263550dc4617816e56200888c7052022-12-22T03:03:50ZengF1000 Research LtdF1000Research2046-14022016-03-01510.12688/f1000research.8235.18857Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]Alfonso J. Rodriguez-Morales0Andrés F. Gil-Restrepo1Valeria Ramírez-Jaramillo2Cindy P. Montoya-Arias3Wilmer F. Acevedo-Mendoza4Juan E. Bedoya-Arias5Laura A. Chica-Quintero6David R. Murillo-García7Juan E. García-Robledo8Juan D. Castrillón-Spitia9Jose J. Londoño10Hector D. Bedoya-Rendón11Javier de Jesús Cárdenas-Pérez12Jaime A. Cardona-Ospina13Guillermo J. Lagos-Grisales14Working Group on Zoonoses, International Society for Chemotherapy, Aberdeen, UKPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaSchool of Medicine, Faculty of Health Sciences, Universidad ICESI, Cali, ColombiaESE Hospital San Pedro y San Pablo, La Virginia, ColombiaSchool of Medicine, Faculty of Health Sciences, Universidad ICESI, Cali, ColombiaESE Hospital San Pedro y San Pablo, La Virginia, ColombiaESE Hospital San Pedro y San Pablo, La Virginia, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaPublic Health and Infection Research Group, Faculty of Health Sciences,, Universidad Tecnológica de Pereira, Pereira, ColombiaObjective: There are limited studies in Latin America regarding the chronic consequences of the Chikungunya virus (CHIK), such as post-CHIK chronic inflammatory rheumatism (pCHIK-CIR). We assessed the largest cohort so far of pCHIK-CIR in Latin America, at the municipality of La Virginia, Risaralda, a new endemic area of CHIK in Colombia. Methods: We conducted a cohort retrospective study in Colombia of 283 patients diagnosed with CHIK that persisted with pCHIK-CIR after a minimum of 6 weeks and up to a maximum of 26.1 weeks. pCHIK cases were identified according to validated criteria via telephone. Results: Of the total CHIK-infected subjects, 152 (53.7%) reported persistent rheumatological symptoms (pCHIK-CIR). All of these patients reported joint pains (chronic polyarthralgia, pCHIK-CPA), 49.5% morning stiffness, 40.6% joint edema, and 16.6% joint redness. Of all patients, 19.4% required and attended for care prior to the current study assessment (1.4% consulting rheumatologists). Significant differences in the frequency were observed according to age groups and gender. Patients aged >40 years old required more medical attention (39.5%) than those ≤40 years-old (12.1%) (RR=4.748, 95%CI 2.550-8.840). Conclusions: According to our results, at least half of the patients with CHIK developed chronic rheumatologic sequelae, and from those with pCHIK-CPA, nearly half presented clinical symptoms consistent with inflammatory forms of the disease. These results support previous estimates obtained from pooled data of studies in La Reunion (France) and India and are consistent with the results published previously from other Colombian cohorts in Venadillo (Tolima) and Since (Sucre).http://f1000research.com/articles/5-360/v1Tropical & Travel-Associated Diseases
spellingShingle Alfonso J. Rodriguez-Morales
Andrés F. Gil-Restrepo
Valeria Ramírez-Jaramillo
Cindy P. Montoya-Arias
Wilmer F. Acevedo-Mendoza
Juan E. Bedoya-Arias
Laura A. Chica-Quintero
David R. Murillo-García
Juan E. García-Robledo
Juan D. Castrillón-Spitia
Jose J. Londoño
Hector D. Bedoya-Rendón
Javier de Jesús Cárdenas-Pérez
Jaime A. Cardona-Ospina
Guillermo J. Lagos-Grisales
Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]
F1000Research
Tropical & Travel-Associated Diseases
title Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]
title_full Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]
title_fullStr Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]
title_full_unstemmed Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]
title_short Post-chikungunya chronic inflammatory rheumatism: results from a retrospective follow-up study of 283 adult and child cases in La Virginia, Risaralda, Colombia [version 1; referees: 2 approved]
title_sort post chikungunya chronic inflammatory rheumatism results from a retrospective follow up study of 283 adult and child cases in la virginia risaralda colombia version 1 referees 2 approved
topic Tropical & Travel-Associated Diseases
url http://f1000research.com/articles/5-360/v1
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