Chikungunya, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Chikungunya, Diagnosis and Treatment and Related Diseases
Recently a friend of mine was diagnosed with Chikungunya viral infection while traveling in Thailand.
He is a doctor and thought that he had dengue fever which is well known in Singapore.
Because Dengue fever can be dangerous with its hemorrhage episodes, he had himself admitted into a hospital in Thailand.
While in the hospital his fever went up then down and recurred after a few days and a rash appeared all over his body.
He was given intravenous dextrosaline lotion containing salt, water and sugar to replenish his electrolytes and nutrients and hydration because of the high fever.
The rash was more maculopapular in nature unlike the fine petechiae seen in dengue.
While the rashes were developing he found that he had severe body aches and joint pain which he had never experienced before so much so that he could not even straightened his back.
He had to sleep in a crouched position.
Now he was really worried because he had never experienced such joint and back pain.
The doctors in Thailand gave him painkillers and muscle relaxant and took his blood for testing.
He was found to have Chikungunya viral infection which was also transmitted by an Aedes mosquito bite just like Dengue.
After excluding malaria, dengue and Zika viral infections all mosquito-borne diseases, he was finally discharged after the fever subsided in 10 days.
He told me that his back and joint pains of the wrists and ankles are still troubling him.
However he was glad that it was not dengue which would be the most dangerous of these mosquito-borne diseases and could him to bleed in the brain.

Chikungunya is an infection produced by one of a group of arboviruses (of the family Togaviridae) that is transmitted by mosquitoes (normally of the Aedes spp.).
They are likely to bite during daylight.
Its name is derived from a verb from the Kimakonde language, meaning "to become contorted", indicating the involved person's stooped posture caused by joint pains.
Starting in Africa, there were at first few cases documented.
By 2007, the outbreak had extended to India and other parts of Asia and Southeast Asia, and parts of the Pacific region.
Now it had spread even to the Carribean and Americas.
The illness normally starts with:
1. Rapid start of fever and
2. Joint pains.
It may or may not be accompanied by these:
1. Muscle pain,
2. Headache,
3. Nausea,
4. Fatigue and
5. A rash (maculopapular not petechie).
There is sudden onset of fever and, with it, a serious, crippling migrating, poly-articular arthritis.
This most often affects ankles, wrists and hands but can form any joint.
Joint pain is typically the most disabling and causes the longest period of symptom.
Diagnosis is dependent on the identification of virus or antibodies within the blood sample.
The treatment mainly entails:
1. Symptom relief and
2. Supportive care.
There is no antiviral treatment for chikungunya.
Because of the high fever, plenty of fluid should be drunk.
Paracetamol and ibuprofen may be given to relieve pyrexia and pain.
Most patients will restore to health completely within one to two weeks
Some may have chronic joint pains which may persist several years
Chikungunya virus does not cause death directly.
The presence of other co-morbidities may cause a fatal outcome.
Death is thought to happen in less than 1 in 1,000 cases.

Unlike in the past when there is a mosquito bite, doctors are worried about malaria and dengue.
Now there is not only Chikungunya with its joint pain.
There is also Zika virus transmitted by the same mosquito but also cause micro-cephaly and malformations in infants if the mother is infected during pregnancy

TABLE OF CONTENT
Introduction
Chapter 1 Chikungunya
Chapter 2 Causes
Chapter

• Language: English
• Publisher: Kenneth Kee
• Release date: Jan 14, 2019
• ISBN: 9780463629499

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Chikungunya,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2018 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Chikungunya, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Chikungunya)

This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize