Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report

Polio-associated paralysis is one of the diseases under national surveillance in the Democratic Republic of the Congo (DRC). Although it has become relatively rare due to control measures, non-polio paralysis cases are still reported and constitute a real problem, especially for etiological diagnosi...

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Main Authors: Mathy Matungala-Pafubel, Junior Bulabula-Penge, Meris Matondo-Kuamfumu, Samy Esala, François Edidi-Atani, Elisabeth Pukuta-Simbu, Paul Tshiminyi-Munkamba, Yannick Tutu Tshia N’kasar, Trésor Katanga, Etienne Ndomba-Mukanya, Delphine Mbonga-Mande, Lionel Baketana-Kinzonzi, Eddy Kinganda-Lusamaki, Daniel Mukadi-Bamuleka, Fabrice Mambu-Mbika, Placide Mbala-Kingebeni, Edith Nkwembe-Ngabana, Antoine Nkuba-Ndaye, Daniel Okitundu-Luwa, Steve Ahuka-Mundeke
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/13/3/198
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author Mathy Matungala-Pafubel
Junior Bulabula-Penge
Meris Matondo-Kuamfumu
Samy Esala
François Edidi-Atani
Elisabeth Pukuta-Simbu
Paul Tshiminyi-Munkamba
Yannick Tutu Tshia N’kasar
Trésor Katanga
Etienne Ndomba-Mukanya
Delphine Mbonga-Mande
Lionel Baketana-Kinzonzi
Eddy Kinganda-Lusamaki
Daniel Mukadi-Bamuleka
Fabrice Mambu-Mbika
Placide Mbala-Kingebeni
Edith Nkwembe-Ngabana
Antoine Nkuba-Ndaye
Daniel Okitundu-Luwa
Steve Ahuka-Mundeke
author_facet Mathy Matungala-Pafubel
Junior Bulabula-Penge
Meris Matondo-Kuamfumu
Samy Esala
François Edidi-Atani
Elisabeth Pukuta-Simbu
Paul Tshiminyi-Munkamba
Yannick Tutu Tshia N’kasar
Trésor Katanga
Etienne Ndomba-Mukanya
Delphine Mbonga-Mande
Lionel Baketana-Kinzonzi
Eddy Kinganda-Lusamaki
Daniel Mukadi-Bamuleka
Fabrice Mambu-Mbika
Placide Mbala-Kingebeni
Edith Nkwembe-Ngabana
Antoine Nkuba-Ndaye
Daniel Okitundu-Luwa
Steve Ahuka-Mundeke
author_sort Mathy Matungala-Pafubel
collection DOAJ
description Polio-associated paralysis is one of the diseases under national surveillance in the Democratic Republic of the Congo (DRC). Although it has become relatively rare due to control measures, non-polio paralysis cases are still reported and constitute a real problem, especially for etiological diagnosis, which is necessary for better management and response. From September 2022 to April 2023, we investigated acute flaccid paralysis (AFP) cases in Kinshasa following an alert from the Provincial Division of Health. All suspected cases and their close contacts were investigated and sampled. Among the 57 sampled patients, 21 (36.8%) were suspects, and 36 (63.2%) were contacts. We performed several etiological tests available in the laboratory, targeting viruses, including Poliovirus, Influenza virus, SARS-CoV-2, Enterovirus, and arboviruses. No virus material was detected, but the serological test (ELISA) detected antibodies against Chikungunya Virus, i.e., 47.4% (27/57) for IgM and 22.8% (13/57) for IgG. Among suspected cases, we detected 33.3% (7/21) with anti-Chikungunya IgM and 14.3% (3/21) of anti-Chikungunya IgG. These results highlight the importance of enhancing the epidemiological surveillance of Chikungunya.
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spelling doaj.art-e176b3429d914529bf15327fc239c4c92024-03-27T13:58:49ZengMDPI AGPathogens2076-08172024-02-0113319810.3390/pathogens13030198Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey ReportMathy Matungala-Pafubel0Junior Bulabula-Penge1Meris Matondo-Kuamfumu2Samy Esala3François Edidi-Atani4Elisabeth Pukuta-Simbu5Paul Tshiminyi-Munkamba6Yannick Tutu Tshia N’kasar7Trésor Katanga8Etienne Ndomba-Mukanya9Delphine Mbonga-Mande10Lionel Baketana-Kinzonzi11Eddy Kinganda-Lusamaki12Daniel Mukadi-Bamuleka13Fabrice Mambu-Mbika14Placide Mbala-Kingebeni15Edith Nkwembe-Ngabana16Antoine Nkuba-Ndaye17Daniel Okitundu-Luwa18Steve Ahuka-Mundeke19Département de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDivision Provinciale de la Santé de Kinshasa, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDirection de Surveillance Epidémiologique de Kinshasa, Ministère de Santé, Hygiène et Prévention, Kinshasa 01204, Democratic Republic of the CongoDivision Provinciale de la Santé de Kinshasa, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoCentre Neuro-Psycho-Pathologie, Kinshasa H8V3+CJ3, Democratic Republic of the CongoDépartement de Virologie, Institut National de Recherche Biomédicale, Kinshasa 01204, Democratic Republic of the CongoPolio-associated paralysis is one of the diseases under national surveillance in the Democratic Republic of the Congo (DRC). Although it has become relatively rare due to control measures, non-polio paralysis cases are still reported and constitute a real problem, especially for etiological diagnosis, which is necessary for better management and response. From September 2022 to April 2023, we investigated acute flaccid paralysis (AFP) cases in Kinshasa following an alert from the Provincial Division of Health. All suspected cases and their close contacts were investigated and sampled. Among the 57 sampled patients, 21 (36.8%) were suspects, and 36 (63.2%) were contacts. We performed several etiological tests available in the laboratory, targeting viruses, including Poliovirus, Influenza virus, SARS-CoV-2, Enterovirus, and arboviruses. No virus material was detected, but the serological test (ELISA) detected antibodies against Chikungunya Virus, i.e., 47.4% (27/57) for IgM and 22.8% (13/57) for IgG. Among suspected cases, we detected 33.3% (7/21) with anti-Chikungunya IgM and 14.3% (3/21) of anti-Chikungunya IgG. These results highlight the importance of enhancing the epidemiological surveillance of Chikungunya.https://www.mdpi.com/2076-0817/13/3/198paralysischikungunyaKinshasa
spellingShingle Mathy Matungala-Pafubel
Junior Bulabula-Penge
Meris Matondo-Kuamfumu
Samy Esala
François Edidi-Atani
Elisabeth Pukuta-Simbu
Paul Tshiminyi-Munkamba
Yannick Tutu Tshia N’kasar
Trésor Katanga
Etienne Ndomba-Mukanya
Delphine Mbonga-Mande
Lionel Baketana-Kinzonzi
Eddy Kinganda-Lusamaki
Daniel Mukadi-Bamuleka
Fabrice Mambu-Mbika
Placide Mbala-Kingebeni
Edith Nkwembe-Ngabana
Antoine Nkuba-Ndaye
Daniel Okitundu-Luwa
Steve Ahuka-Mundeke
Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report
Pathogens
paralysis
chikungunya
Kinshasa
title Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report
title_full Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report
title_fullStr Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report
title_full_unstemmed Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report
title_short Lower Limb Paralysis Associated with Chikungunya in Kinshasa, the Democratic Republic of the Congo: Survey Report
title_sort lower limb paralysis associated with chikungunya in kinshasa the democratic republic of the congo survey report
topic paralysis
chikungunya
Kinshasa
url https://www.mdpi.com/2076-0817/13/3/198
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