Chikungunya medical therapy
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Chikungunya Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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]
Overview
There is no specific antiviral therapy for chikungunya virus. The treatment of the disease is based on decreasing the symptoms.
Medical Therapy
The treatment for chikungunya infection is symptomatic. The following recommendations are use to decrease the symptoms:
- Assess hydration and hemodynamic status and provide supportive care as needed.
- Evaluate for other serious conditions (such as dengue, malaria, or bacterial infections) and treat or manage appropriately.
- Use acetaminophen or paracetamol for initial fever and pain control.
- If inadequate, consider using narcotics or NSAIDs.
- If dengue is suspected, 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.