title: Chikungunya - an emerging infection in Bangladesh: a case series.
abstract: BACKGROUND
  Chikungunya is an arthropod-borne virus endemic to Africa, Southeast Asia and India that causes acute febrile polyarthralgia and arthritis. In this short case series, we discuss six Bangladeshi patients with chikungunya fever. Though Bangladesh is in endemic zone, it is not common here, hence it demands attention for proper diagnosis and management.
  
  
  METHODS
  The six cases of chikungunya we report occurred in native Bangladeshi women with ages ranging from 20 to 50 years and all having a middle class family background. Three women had severe incapacitating arthralgia as well as a maculo-papular rash and a high fever. The other three had a high grade fever and arthralgia only, but no rash. They were tested for chikungunya immunoglobulin M antibody and found to be positive in all cases. They were treated symptomatically with non-steroidal anti-inflammatory drugs and found responsive in most cases.
  
  
  CONCLUSIONS
  From this case series, it is evident that chikungunya is not that uncommon in Bangladesh. But the concomitant presence of other arthropod-borne infections with similar courses of illness makes most physicians less aware of this infection. An awareness and clinical knowledge are necessary to diagnose chikungunya infection properly.
authors.affiliation: Department of Medicine, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh. rhkanak@gmail.com.
authors.forename: Rashedul
authors.initials: R
authors.lastname: Hassan
authors.forename: Md Mujibur
authors.initials: MM
authors.lastname: Rahman
authors.forename: Md
authors.initials: M
authors.lastname: Moniruzzaman
authors.forename: Abdur
authors.initials: A
authors.lastname: Rahim
authors.forename: Satyajit
authors.initials: S
authors.lastname: Barua
authors.forename: Rajib
authors.initials: R
authors.lastname: Biswas
authors.forename: Pijous
authors.initials: P
authors.lastname: Biswas
authors.forename: Syed Ghulam Mogni
authors.initials: SG
authors.lastname: Mowla
authors.forename: Ma Jalil
authors.initials: MJ
authors.lastname: Chowdhury