Chikungunya Fever with Arthralgia, Neurological Symptoms and Pneumonia: A Case Report

Md. Zaforullah Chowdhury; Chowdhury Aruba Zafrin; Fatima Tuj Johora; Sumaiya Khatun; Nazmun Nahar Munny; Fayeza Karim; Mahmuda Ahmed

doi:10.3329/bjmm.v19i2.85786

Authors

Md. Zaforullah Chowdhury Principal and Professor of Microbiology, East West Medical College, Dhaka, Bangladesh https://orcid.org/0000-0002-9877-0913
Chowdhury Aruba Zafrin Research Fellow, Department of Microbiology, East West Medical College, Dhaka, Bangladesh https://orcid.org/0009-0008-4858-3563
Fatima Tuj Johora Associate Professor, Department of Microbiology, East West Medical College, Dhaka, Bangladesh https://orcid.org/0000-0002-9739-7571
Sumaiya Khatun Associate Professor, Department of Microbiology, East West Medical College, Dhaka, Bangladesh https://orcid.org/0000-0001-5193-4493
Nazmun Nahar Munny Associate Professor, Department of Microbiology, East West Medical College, Dhaka, Bangladesh https://orcid.org/0000-0001-6595-7872
Fayeza Karim Professor, Department of Physiology, East West Medical College, Dhaka, Bangladesh https://orcid.org/0009-0008-8522-6872
Mahmuda Ahmed Associate Professor, Department of Community Medicine, East West Medical College., Dhaka, Bangladesh https://orcid.org/0009-0002-4846-7796

DOI:

https://doi.org/10.3329/bjmm.v19i2.85786

Keywords:

Chikungunya Fever , Arthralgia, Neurological Symptoms, Pneumonia

Abstract

Presenting a case of Chikungunya viral fever, a 75-year-old male complained of fever, polyarthralgia, and no rash. Diagnostic test for CBC shows decreased platelet count and total count of WBC. The antibodies for the chikungunya test showed a positive result for the IgM antibody. Diagnosis was confirmed by RT-PCR. After treatment patient recovered from the fever. But the patient complained of severe joint and muscle pain even after one month. The patient, after a few days, developed neurological symptoms and pneumonia. HRCT and MRI of the brain confirmed the diagnosis. Antibiotic along with steroids, were started immediately after diagnosis. Patient responded very well with subsidence of fever and feeling of well-being.

Bangladesh Journal of Medical Microbiology, July 2025;19 (2):154-157

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Chikungunya Fever with Arthralgia, Neurological Symptoms and Pneumonia: A Case Report

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