Chikungunya virus disease
ICD-10 A92.1 is a billable code used to indicate a diagnosis of chikungunya virus disease.
Chikungunya virus disease is an arthropod-borne viral infection caused by the chikungunya virus (CHIKV), primarily transmitted to humans through the bite of infected Aedes mosquitoes, particularly Aedes aegypti and Aedes albopictus. The disease is characterized by an abrupt onset of fever, severe joint pain, and rash. Other symptoms may include headache, muscle pain, and fatigue. The joint pain can be debilitating and may persist for weeks to months, leading to chronic arthralgia in some patients. Chikungunya is endemic in tropical and subtropical regions, and outbreaks have been reported in Africa, Asia, Europe, and the Americas. Travel history is crucial in diagnosing chikungunya, as it helps to identify potential exposure to the virus. Laboratory confirmation is typically achieved through serological tests or polymerase chain reaction (PCR) assays. While chikungunya is rarely fatal, it can lead to significant morbidity due to the severe joint pain and associated complications. Public health measures focus on mosquito control and prevention of bites, especially in endemic areas.
Detailed travel history, symptom onset, and laboratory results.
Patients presenting with fever and joint pain after travel to endemic areas.
Consideration of co-infections with other arboviruses.
Comprehensive patient history including travel and symptom duration.
Patients with acute febrile illness and joint pain.
Monitoring for chronic joint pain and referral to specialists if needed.
Used for serological confirmation of chikungunya.
Document the reason for testing and results.
Infectious disease specialists may order this test more frequently.
Chikungunya is primarily transmitted through the bite of infected Aedes mosquitoes.
While both are transmitted by mosquitoes and can cause fever and joint pain, chikungunya typically presents with more severe joint pain and a rash, and it is crucial to document travel history and laboratory results for accurate diagnosis.
