Via The Times of India: Sudden spurt in Chikungunya-like viral cases, women most affected. Whether it's really chikungunya or something else entirely, I have no idea. Excerpt:
PUNE: A chikungunya-like viral fever, mostly affects women, has left medical practitioners in the city flummoxed.
Patients with this type of illness exhibit symptoms similar to that of chikungunya. However, their blood samples test negative when specific tests are run.
Notably, this atypical viral fever mainly affects people from upper class, upper middle class, middle class and working professionals. Peculiar enough, the patients also develop black pigmentation particularly at the tip of their nose during the course of the illness.
"Around 90% of my patients are currently that of atypical viral fever. Among them, 70% are exhibiting chikugunya-like viral fever symptoms while the rest that of dengue-like viral fever," said senior family physician Avinash Bhondwe, former president of Indian Medical Association (IMA), Pune branch.
Initially, there were more patients with dengue-like viral fever, complaining of muscle pain. "Towards the end of June, there were more cases of dengue-like viral fever and the trend continued thereafter. However, since the beginning of this month, chikungunya-like viral fever is on the rise," Bhondwe added.
Recently, a seminar in the city had to be postponed as the main speakers at the event, mainly doctors, were down with the chikungunya-like viral fever.
Family physician Mahesh Wayal said, "There has been a spurt in the cases of this atypical viral fever across the city. Cases are more commonly seen in women than men. It is my observation that for every seven patients suffering from the disease, four are women."
Fortunately, no special medical treatment is required for patients with atypical viral fever.
The simple antipyretic drugs like paracetamol and non-steroidal anti-inflammatory drugs are required to relieve the symptoms. In some patients, analgesic medicines has to be used for joint pains.
"A close observation of the patient's white blood cells (WBC) and platelet counts is required. Usually, a patient gets well within a week," family physician Prakash Mahajan said.
Physician Nitin Bora, who practises in Padmavati, said, "I am seeing quite a few patients exhibiting chikungunya-like symptoms starting with high fever followed by a severe joint pain. Gradually, they develop rash all over the body. Peculiarly, in a few cases, patients had black spots on the tip of their nose which disappeared within 15-20 days without any treatment."