Chikungunya medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
* There is no specific antiviral therapy. The treatment is symptomatic: | * There is no specific [[antiviral therapy]]. The treatment is symptomatic: | ||
** Assess hydration and hemodynamic status and provide supportive care as needed | ** Assess hydration and hemodynamic status and provide supportive care as needed. | ||
** Evaluate for other serious conditions (e.g., dengue, malaria, and bacterial infections) and treat or manage appropriately | ** Evaluate for other serious conditions (e.g., [[dengue]], [[malaria]], and bacterial infections) and treat or manage appropriately. | ||
** Collect specimens for diagnostic testing | ** Collect specimens for diagnostic testing. | ||
** Use acetaminophen or paracetamol for initial fever and pain control | ** Use [[acetaminophen]] or [[paracetamol]] for initial [[fever]] and [[pain]] control. | ||
** If inadequate, consider using narcotics or NSAIDs | ** If inadequate, consider using [[narcotics]] or [[NSAIDs]]. | ||
**If the patient may have dengue, do not use aspirin or other NSAIDs (e.g., ibuprofen, naproxen, toradol) until they have been afebrile ≥48 hours and have no warning signs for severe dengue | **If the patient may have [[dengue]], do not use [[aspirin]] or other [[NSAIDs]] (e.g., [[ibuprofen]], [[naproxen]], [[toradol]]) until they have been afebrile ≥48 hours and have no warning signs for severe [[dengue]]. | ||
**Persistent joint pain may benefit from use of NSAIDs, corticosteroids, or physiotherapy | **Persistent [[joint pain]] may benefit from use of [[NSAIDs]], [[corticosteroids]], or [[physiotherapy]]. | ||
==References== | ==References== | ||
* [http://www.cdc.gov/Chikungunya/index.html CDC Chikungunya virus] | |||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Revision as of 15:56, 8 June 2014
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Chikungunya Microchapters |
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Chikungunya medical therapy On the Web |
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American Roentgen Ray Society Images of Chikungunya medical therapy |
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Risk calculators and risk factors for Chikungunya medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2], Alonso Alvarado, M.D. [3]
Medical Therapy
- There is no specific antiviral therapy. The treatment is symptomatic:
- Assess hydration and hemodynamic status and provide supportive care as needed.
- Evaluate for other serious conditions (e.g., dengue, malaria, and bacterial infections) and treat or manage appropriately.
- Collect specimens for diagnostic testing.
- Use acetaminophen or paracetamol for initial fever and pain control.
- If inadequate, consider using narcotics or NSAIDs.
- If the patient may have dengue, do not use aspirin or other NSAIDs (e.g., ibuprofen, naproxen, toradol) until they have been afebrile ≥48 hours and have no warning signs for severe dengue.
- Persistent joint pain may benefit from use of NSAIDs, corticosteroids, or physiotherapy.