Received: July 26, 2008
Accepted: August 26, 2008
Goorah SSD, Ghamy AB, Caussy BS, Cheeneebash J, Ramchurn SK. Clinical complications of chikungunya fever in Mauritius. Internet Journal of Medical Update. 2009 July;4(2):3-8.


Dr. Smita Sulackshana Devi Goorah MRCP, Ms. Adeela Bibi Ghamy BSc, Dr. Beerdarshan Singh Caussy MMSc, Ms. Jayrani CheeneebashØ MSc and Dr. Satish Kumar Ramchurn

Department of Medicine, Faculty of Science, University of Mauritius, Mauritius
Victoria Hospital, Candos, Mauritius
ØDepartment of Mathematics, Faculty of Science, University of Mauritius, Mauritius
Department of Physics, Faculty of Science, University of Mauritius, Mauritius

(Corresponding Author: Dr. Smita Sulackshana Devi Goorah, Department of Medicine, Faculty of Science, University of Mauritius, Mauritius, Email:


Chikungunya fever, an emerging mosquito-borne viral disease, has affected Mauritius with two recent outbreaks in 2005 and 2006 respectively. A study was carried out in 2007 to describe the clinical complications post-Chikungunya infection. Ethical clearance was obtained for this study. Data collection was carried out in February and March 2007 on a sample of people who had suffered from Chikungunya fever by means of a comprehensive questionnaire. Participants comprised 77 people; there were 41 males and 36 females. Participants ranged from 6 to 69 years. 70 participants experienced persisting joint pains for at least 6 months following the acute phase. Of these, 35 had residual joint complaints after 6 months. 44 participants suffered from psychological sequelae. 10 participants had dermatological sequelae, 6 had iatrogenic complications due to non-steroidal anti-inflammatory drug (NSAID)-induced gastritis, and 3 participants with serologically confirmed Chikungunya fever had neurological manifestations and changes on CT/MRI which could correspond to demyelination. Statistical analysis demonstrated that there was a weak linear relationship between the number of complications and increasing age; there was a significant difference in the number of complications according to gender, females being more affected than males; participants with co-morbidities had more complications and psychological sequelae than previously healthy participants. This study highlights that Chikungunya fever, which causes a significant impact on health in the acute phase, can have significant sequelae months afterwards and this includes psychological sequelae.

KEY WORDS: Chikungunya fever; Complications; Residual joint symptoms; Psychological sequelae