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CHIKUNGUNYA - MAURITIUS AND REUNION ISLAND (08): REUNION
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A ProMED-mail post
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International Society for Infectious Diseases
<http://www.isid.org>
Date: Sun 5 Feb 2006
From: Lionel Suzon <lionel.suz@gmail.com>
A previously healthy 10-year-old boy is supposed to be the 1st-ever
fatality in the world directly caused by chikungunya fever. On 13 Jan
2006, this young boy awoke and felt a lot of body pain with an acute
fever. His grandmother gave him some paracetamol, but the situation
rapidly got worse, and he became comatose. He was admitted to Saint
Denis Hospital in a critical care unit, where he died within a few
hours despite aggressive management. Lumbar puncture [also known as
"spinal tap"] and cerebral CT scan did not favor a neurologic
chikungunya complication. An extensive search for all possible
infectious causes was undertaken by the Institute Pasteur in Lyon,
France. CHIK [Chikungunya] virus was the only pathogen found in this
case and the only explanation for the death. The family members
refused permission for a necropsy, so this is a diagnosis by default.
--
Dr. Lionel Suzon
Saint Pierre, Reunion
<lionel.suz@gmail.com>
[ProMED is most grateful for the above information provided by Dr.
Lionel Suzon from Reunion island. The current epidemic of chikungunya
has spread at 2143 new cases per day for the past week. The island is
presently in the middle of the warm season, when mosquitoes are most
abundant. A map with the geographic location of the island can be
viewed at: <http://www.vacationstogo.com/images/ports/maps/1187.gif>. - Mod.RY]
[In the absence of a post-mortem examination, the exact
pathophysiology leading to the death reported above will continue as
pure speculation. One wonders if given the current outbreak activity
and attention to the outbreak in the islands off the east coast of
Africa if there might be other deaths occurring attributable to
chikungunya virus infection that in past would have fallen "below the
radar-scope". - Mod.MPP
[see also:
Chikungunya - Mauritius and Reunion Island (07): Reunion 20060204.0358
Chikungunya - Madagascar: susp., RFI 20060202.0340
Chikungunya - Mauritius and Reunion Island (06): Reunion 20060203.0343
Chikungunya - Mauritius and Reunion Island (05): Reunion 20060131.0306
Chikungunya - Mauritius and Reunion Island (04): Reunion 20060127.0254
Chikungunya - Mauritius and Reunion Island (03): Reunion 20060124.0230
Chikungunya - Mauritius and Reunion Island (02): Reunion 20060121.0202
Chikungunya - Mauritius and Reunion Island: Reunion 20060102.0007
2005
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Chikungunya - Mauritius and Reunion Island (04): Reunion 20051231.3716
Chikungunya - Mayotte, Reunion, Comoros 20050913.2707
Chikungunya - Indonesia (Tangerang) 20050717.2059
Chikungunya - Mauritius and Reunion Island (03) 20050624.1770
Deaths at sea - France (Reunion Island): RFI 20050622.1759
Chikungunya - Mauritius and Reunion Island (2) 20050520.1384
Chikungunya - Mauritius and Reunion Island 20050519.1372
Chikungunya - Indonesia (West Lombok) 20050422.1121
Chikungunya - Comoros (Ngazidja) 20050405.0986
Chikungunya - Sri Lanka (02) 20050223.0581
2004
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Chikungunya fever - Indonesia 2003 20040226.0604
Chikungunya - Indonesia (Java) (03) 20040125.0297
Chikungunya - Indonesia (Java) (02) 20040117.0183
Chikungunya - Indonesia (Java) 20040115.0164
2003
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Chikungunya - Indonesia (East Java) 20031209.3019
Chikungunya - Indonesia (03) 20030226.0485
Chikungunya - Indonesia (Java) (02) 20030223.0469
Chikungunya - Indonesia (Java) 20030217.0410
1999
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Chikungunya - Malaysia (Petaling Jaya) 19990427.0700
Chikungunya - Malaysia (Port Klang) (03) 19990320.0441
Chikungunya - Malaysia (Port Klang) (02) 19990317.0400
Chikungunya - Malaysia (Port Klang) 19990206.0171]
...................ry/msp/mpp
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