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Braz. j. infect. dis ; 24(1): 1-6, Feb. 2020. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1089330

Résumé

ABSTRACT Febrile illnesses in developing countries are often misdiagnosed as malaria or typhoid fever. Although arboviral infections have similar clinical symptoms, they are usually not screened because of limited resources and the fact that there are several viruses in this group. Chikungunya virus (CHIKV) has been isolated in parts of Nigeria, but there is no documented evidence of the infection in Kogi State. This study determined seroprevalence of active and past CHIKV infection among febrile patients who tested negative for malaria and typhoid fever. Sera from 243 febrile patients were screened for CHIKV IgG and IgM using an immunochromatographic test kit. Clinical and socio-demographic variables were collected using a structured questionnaire. Recent CHIKV infection was observed in 5.8% of the study participants while 25.1% had IgG antibodies demonstrating previous infection. Significant associations were observed between seropositivity and age of participants (p < 0.001), sex (p = 0.044), marital status (p = 0.002), and occupation (p < 0.001). Clinical symptoms such as fever, joint pain, and headache were significantly associated with seropositivity. This study identified recent CHIKV infection in Anyigba. Therefore, there is need for routine screening of febrile patients and molecular characterization to determine the nature of circulating strains.


Sujets)
Humains , Mâle , Femelle , Enfant , Adolescent , Adulte , Adulte d'âge moyen , Sujet âgé , Sujet âgé de 80 ans ou plus , Jeune adulte , Fièvre chikungunya/épidémiologie , Valeurs de référence , Facteurs socioéconomiques , Immunoglobuline G/immunologie , Immunoglobuline G/sang , Immunoglobuline M/sang , Dosage immunologique , Études séroépidémiologiques , Virus du chikungunya/immunologie , Prévalence , Études transversales , Répartition par sexe , Répartition par âge , Fièvre/épidémiologie , Fièvre chikungunya/immunologie , Anticorps antiviraux/sang , Nigeria/épidémiologie
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