Article Text
Summary
We describe a 3-month-old male infant who presented with acute onset fever, irritability and marked tachycardia. ECG was suggestive of atrial tachycardia. He developed erythematous blanchable skin rash on day 2 of illness, which progressed to vesiculobullous lesions over a few days’ time. The child was managed with intravenous adenosine, carefully monitored fluid boluses, oxygen supplementation and close monitoring. Tachycardia improved within 24 hours. Blood for Chikungunya PCR was positive. The child was discharged after 5 days of hospitalisation with bullous lesions evolving into hyperpigmented macules followed by crusts and hypopigmentation by day 10.
- paediatrics
- tropical medicine(infectious Disease)
- dermatology
Statistics from Altmetric.com
Footnotes
Handling editor Seema Biswas
Contributors DR, RK and SW were involved in management of the patient. NC and DR were involved in writing the manuscript. RK was involved in literature search. SW provided overall guidance.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.