Manifestações cutâneas em seis crianças pelo CHIKV: uma série de casos

Abstract

Objectives: To describe a case series of children diagnosed with Chikungunya virus (CHIKV) infection with atypical dermatologic manifestations, in order to broaden the picture of possibilities for differential diagnoses in cases of similar clinical presentations. Methods: This is a series of cases in which were included all patients aged between zero and 18 years and who, between January, 2018 and November, 2020, were admitted to the emergency department of a pediatric public hospital, presenting atypical cutaneous manifestations associated with a clinicalepidemiological or laboratory diagnosis of CHIKV. Results: A total of six patients were screened from a cohort of 432 patients. Of these, four were female and five were under one year of age. The most reported manifestations were fever of sudden onset, besides exanthema and bullous skin lesions, mainly affecting the limbs. There was hospitalization of five of patients, without deaths. Conclusion: Cutaneous presentations are of different magnitude according to the age range affected by CHIKV, especially for children under one year of age, affecting mainly extremity areas of the body surface. It is therefore worth noting that pediatric patients deserve greater attention and early care, in order to reduce complications from the infection and thus also the morbidity of the affected population