Chikungunya Virus Infection: Why Should U.S. Geriatricians Be Aware of It?
- 21 September 2017
- journal article
- review article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 65 (11), 2529-2534
- https://doi.org/10.1111/jgs.15104
Abstract
Chikungunya virus (CHIKV) was until recently perceived only as a tropical disease. Since the first report of a case in Saint Martin Island in 2013, it has spread to South, Central, and North America. The first local transmission in the continental United States was reported in Florida in July 2014. CHIV infection is known to cause debilitating rheumatologic disease. Older adults are particularly susceptible to severe and chronic infection. Without an effective vaccine and antiviral therapy to prevent and control CHIKV, U.S. geriatricians could soon be confronted with major clinical, functional, and therapeutic challenges. After a general overview of CHIKV infection, this review will examine reasons why it has become such a threat to the United States and consider factors that contribute to the greater burden and effect of this disease in elderly adults. Consideration will be given to how aging and immunosenescence may contribute to CHIKV's atypical and more-severe clinical features in older adults. This review concludes with possible therapeutic approaches that best fit the unique needs of older adults, especially with regard to multimorbidity and polypharmacy.This publication has 46 references indexed in Scilit:
- Chikungunya Virus Infection Results in Higher and Persistent Viral Replication in Aged Rhesus Macaques Due to Defects in Anti-Viral ImmunityPLoS Neglected Tropical Diseases, 2013
- Chikungunya fever: Epidemiology, clinical syndrome, pathogenesis and therapyAntiviral Research, 2013
- Aedes(Stegomyia)aegyptiin the Continental United States: A Vector at the Cool Margin of Its Geographic RangeJournal of Medical Entomology, 2013
- Longitudinal Analysis of the Human Antibody Response to Chikungunya Virus Infection: Implications for Serodiagnosis and Vaccine DevelopmentJournal of Virology, 2012
- Impaired quality of life after chikungunya virus infection: a 2-year follow-up studyRheumatology, 2012
- Vaccine effectiveness in older individuals: What has been learned from the influenza-vaccine experienceAgeing Research Reviews, 2011
- Herpes zoster-related pain in aged individuals: How to manage it safelyEuropean Geriatric Medicine, 2010
- Persistent Chronic Inflammation and Infection by Chikungunya Arthritogenic Alphavirus in Spite of a Robust Host Immune ResponseThe Journal of Immunology, 2010
- Clinical Features and Molecular Diagnosis of Chikungunya Fever from South IndiaClinical Infectious Diseases, 2008
- Chikungunya Fever in Travelers Returning to Europe from the Indian Ocean Region, 2006Emerging Infectious Diseases, 2008