Ribavirin therapy for Chikungunya arthritis

Background: Chikungunya is an acute viral infection presenting with a febrile episode and severe arthralgia, swelling of soft tissues, especially around the ankles. Many patients recover with nonspecific treatment of analgesics. Some patients continue to have subacute crippling arthritis in the legs...

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Main Authors: Rajan Ravichandran, Manju Manian
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2008-04-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/286
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author Rajan Ravichandran
Manju Manian
author_facet Rajan Ravichandran
Manju Manian
author_sort Rajan Ravichandran
collection DOAJ
description Background: Chikungunya is an acute viral infection presenting with a febrile episode and severe arthralgia, swelling of soft tissues, especially around the ankles. Many patients recover with nonspecific treatment of analgesics. Some patients continue to have subacute crippling arthritis in the legs affecting their mobility. This study was undertaken to see the effect of the antiviral drug Ribavirin in the clinical outcome of these patients. Methodology: Ten patients who continued to have crippling lower limb pains and arthritis for at least two weeks after a febrile episode were taken up for the drug study. Ten similar patients during the same period were included as controls. In the study group Ribavirin was given at 200 mg twice a day for seven days. Both groups were followed up for four weeks Results: All patients in the drug group reported improvement in the joint pains with six of them capable of walking freely. The soft tissue swelling also reduced in eight. In three patients the pain returned after mobilization. Seven patients continued not to receive analgesics after four weeks. Conclusions: Ribavirin may have a direct antiviral property against Chikungunya leading to faster resolution of joint and soft tissue manifestations.
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spelling doaj-art-f96bfed0f8f84c4e973f2ade29ba6c5c2025-08-20T03:48:58ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802008-04-0120210.3855/jidc.286Ribavirin therapy for Chikungunya arthritisRajan Ravichandran0Manju Manian1Madras Institute of Nephrology, Vijaya Heath Centre, N.S.K Salai, Chennai-600026Madras Institute of Nephrology, Vijaya Heath Centre, N.S.K Salai, Chennai-600026Background: Chikungunya is an acute viral infection presenting with a febrile episode and severe arthralgia, swelling of soft tissues, especially around the ankles. Many patients recover with nonspecific treatment of analgesics. Some patients continue to have subacute crippling arthritis in the legs affecting their mobility. This study was undertaken to see the effect of the antiviral drug Ribavirin in the clinical outcome of these patients. Methodology: Ten patients who continued to have crippling lower limb pains and arthritis for at least two weeks after a febrile episode were taken up for the drug study. Ten similar patients during the same period were included as controls. In the study group Ribavirin was given at 200 mg twice a day for seven days. Both groups were followed up for four weeks Results: All patients in the drug group reported improvement in the joint pains with six of them capable of walking freely. The soft tissue swelling also reduced in eight. In three patients the pain returned after mobilization. Seven patients continued not to receive analgesics after four weeks. Conclusions: Ribavirin may have a direct antiviral property against Chikungunya leading to faster resolution of joint and soft tissue manifestations.https://jidc.org/index.php/journal/article/view/286Chikungunyalower limb arthritisRibavirinobservational study
spellingShingle Rajan Ravichandran
Manju Manian
Ribavirin therapy for Chikungunya arthritis
Journal of Infection in Developing Countries
Chikungunya
lower limb arthritis
Ribavirin
observational study
title Ribavirin therapy for Chikungunya arthritis
title_full Ribavirin therapy for Chikungunya arthritis
title_fullStr Ribavirin therapy for Chikungunya arthritis
title_full_unstemmed Ribavirin therapy for Chikungunya arthritis
title_short Ribavirin therapy for Chikungunya arthritis
title_sort ribavirin therapy for chikungunya arthritis
topic Chikungunya
lower limb arthritis
Ribavirin
observational study
url https://jidc.org/index.php/journal/article/view/286
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