Lymphatic involvement in Chikungunya patient in Cardiovascular Practice

Authors

  • Khurshed Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Harisul Hoque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Fazlur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Jahanara Arzu Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Manzoor Mahmood Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • SM Mustafa Zaman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Sajal K Banerjee Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Syed Ali Ahsan Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Choudhury Meshket Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • SM Ahsan Habib Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Md Mukhlesur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Md Saif Ullah Khan Department of Vascular Surgery, BSMMU, Dhaka
  • Nilufar Fatema Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka

DOI:

https://doi.org/10.3329/uhj.v13i1.36883

Abstract

Chikungunya virus (CHIKV) is an RNA alphavirus of the Togaviridae family that produces an acute febrile illness in humans followed by Joint pain, Itchy rash and leg swelling. This emerging virus has caused several large outbreaks in parts of Africa, Asia, and the Indian Ocean Islands and more recently in the Caribbean. This study was done from December 2015 to November 2016 on 24 confirmed Chikungunya patients with leg swelling. Peripheral vascular duplex study was done in every patients to find out the cause of leg swelling. Unilateral leg swelling 83% and Bilateral leg swelling 17%. Lower limb vascular Duplex was done in all patients. Moderate resersible lymphatic oedema in subcutaneous tissue of lower limb was found in 22 patients only. 2 patients had cellulites with mild lymphatic swelling. DVT was absent. There was mild reduction of peak systolic arterial flow in 13 patients which is secondary to pressure effect of lymphedema and leg swelling. 16 patients had non tender lymphadenopathy (>1cm in diameter), 2 had tender lymphadenopathy in inguinal region and no enlarged lymph glands was observed in rest of the 6 patients. 6 patients had neutropenia and 8 had lymphopenia. Gradual improvement of symptoms was observed with conservative treatment. Lymphedema is reversible and conservative therapy is appropriate. And Non tender lymphadenopathy does not require treatment.

University Heart Journal Vol. 13, No. 1, January 2017; 13-16

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Published

2018-06-03

How to Cite

Ahmed, K., Hoque, H., Rahman, F., Arzu, J., Mahmood, M., Zaman, S. M., Banerjee, S. K., Ahsan, S. A., Ahmed, C. M., Habib, S. A., Rahman, M. M., Khan, M. S. U., & Fatema, N. (2018). Lymphatic involvement in Chikungunya patient in Cardiovascular Practice. University Heart Journal, 13(1), 13–16. https://doi.org/10.3329/uhj.v13i1.36883

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Section

Original Articles