Chikungunya medical therapy
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Diagnosis |
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Treatment |
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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.