Chikungunya Virus Differential Diagnoses

Updated: Aug 01, 2019
  • Author: Suganthini Krishnan Natesan, MD; 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 (adapted from http://www.cdc.gov/chikungunya/)

Table. (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

-

++

 

Differentials

Viral infections

Parasitic infections

Bacterial infections