Friday, April 3, 2020

Differences between Dengue and Chikungunya


Differences between Dengue and Chikungunya
Dengue and chikungunya are transmitted by the Aedes mosquito, a species that bites during daytime.
Dengue is the fever caused by the bite of Aedes aegypti whereas Chikungunya is caused by the bite of both Aedes albopictus and Aedes aegypti.

Differences between Dengue and Chikungunya are as follows
Character
Dengue
Chikungunya
Causative agent
Dengue virus, belongs to Flaviviridea family and Flavivirus genus.
Chikungunya virus, belongs to Togaviridea family and alphvirus genus.
Primary vector
Aedes aegypti
Aedes albopictus
Incubation period
4-7 days
3-7days (range 1-12 days)
Disease duration
4-7 weeks
1-2 weeks
Symptoms
Fever, Joint pain, Headache, Rashes, Pain behind the eye
Fever, Joint pain, Headache, eye pain, Rashes
Joint pain and muscle pain
Muscle pain on the back, arms and legs. Joint pain on knees and shoulders.
Joint pains on hands and feet. Swelling is present and the pain is high in the morning.
Rashes
Rashes usually on face and limbs.
Rashes on trunk, limbs, face, palms and feet.
Arthritis
Absent
present
Hemorrhage
Yes
May be present or absent.
Shock
Yes
No
Clinical lab findings

Thrombocytopenia (<100 and="" ast="" dengue="" elevated="" enzymes="" fever="" hemorrhagic="" liver="" lymphopenia="" mm3="" more="" neutropenia="" severe="" signs="" span="" with="">
Mild thrombocytopenia (>100,000 /mm3), lymphopenia, elevated liver enzymes (ALT, AST)

Complications
Life threatening complications such as shock, breathing difficulty and heavy bleeding can occur.
Upto 10% of patients develop chronic joint pain. Neurological damage is possible, but rare.

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