Chikungunya Virus Differential Diagnoses

Updated: Feb 17, 2022
  • Author: Suganthini Krishnan Natesan, MD, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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DDx

Diagnostic Considerations

Other diseases to be considered in the differential diagnoses depend on the country of residence, local epidemiology, travel history, and exposure (see Differentials). 

Table 1. Clinical and Laboratory Features of Chikungunya virus Infections Compared with Dengue Virus Infections (Open Table in a new window)

Feature

Chikungunya Virus Infection

Dengue Virus Infection

Fever (>39°C)

+++

++

Arthralgia

+++

+/-

Arthritis

+

-

Headache

++

++

Rash

++

+

Myalgia

+

++

Hemorrhage

+/-

++

Shock

-

+

Lymphopenia

+++

++

Neutropenia

+

+++

Thrombocytopenia

+

+++

Hemoconcentration

-

++

Table adapted from Centers for Disease Control and Prevention 

Differentials

Viral infections

Parasitic infections

Bacterial infections