Cases of chikungunya fever imported from the Islands of the south west Indian ocean to Paris, France

摘要: An outbreak of chikungunya fever has been occurring in the islands South West Indian Ocean since early 2005. We describe clinical and biological manifestations observed 80 patients presenting with confirmed imported our infectious disease department between March 2005 August 2006. Forty eight were women (60%) median age was 50 years (range: 15-75). Median delay onset symptoms consultation 35 days 2 days-9 months). All suffered from joint pains. The duration three 1-7). Joint pains mainly peripheral, involving wrist, ankles phalanges more than 70% patients. erythematous exanthema occurred 60 (75%). Bleeding nose or gums reported nine (11%). Blood test anomalies, including lymphopenia, thrombopenia moderate increased liver transaminase levels, particularly during first week symptoms. After symptoms, main complaints persistent arthalgia, peripheral oedema, lethargy sadness. At time this report, treatment remains exclusively symptomatic no vaccine is available which emphasizes leading part played by anti vectorial measures..