Clinical manifestations of Chikungunya in pregnant women include fever, headache, rash, photophobia, bone density alterations and chronic bone and joint disease. 

Maternal Chikungunya Infection Presentation

No available vaccines exist for Chikungunya

Vaccines for Chikungunya

Cytokines produce inflammatory conditions that caused joint and tissue damage. The proliferation of osteoclasts produce bone erosion. The Aedes species of mosquitoes are the vectors for this disease. 

Chikungunya Pathogenesis/Vector

Fetal abnormalities include congenital malformations, still births, uterine growth retardation and fetal heart defects. 

Fetal/Neonatal Anomalies from Chikungunya

IgM/IgG-ELISA and reverse transcription polymerase chain reaction (RT-PCR) diagnostic tests are used to detect Chikungunya virus (CHIKV) infections.

Diagnosing Chikungunya

Discovered in east Africa, Chikungunya virus is spread by mosquitoes across Asia and South America as well, causing a flu like illness.

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- Dengue
- Zika
- Japanese Encephalitis
- West Nile
- Rift Valley Fever
- Chikungunya
- Yellow Fever

Arboviruses Causing Pregnancy Associated Infections

- Chikungunya
- Dengue
- Rift Valley fever
- Yellow Fever
- Zika
- Japanese encephalitis
- West Nile fever
- Sandfly fever (phlebotomus fever)
- Crimean-Congo haemorrhagic fever
- Tick-borne encephalitis

Examples of vector borne viral diseases (arboviruses)

Nausheen, F., S. Bashir, S., &amp; N. Atapattu, D. (2018). Pregnancy associated arbovirus infections. Clinical Microbiology and Infectious Diseases, 3(2). https://doi.org/10.15761/cmid.1000138 

Pregnancy Associated Arbovirus Infections

- Pathogenesis/Vector
- Presentation of Maternal Infection
- Diagnosis
- Fetal/Neonatal Abnormalities
- Vaccines

Dengue

Zika Virus

Rift Valley Fever

Chikungunya

West Nile Virus

Yellow Fever

Japanese Encephalitis

Spread most often by mosquitos in tropical and sub-temperate climates of Asia, Japanese Encephalitis Virus typically affects children under age 15, but is the leading cause of viral encephalitis in children and adults in Asia.

Japanese Encephalitis Virus (JEV)

The most widely spread arbovirus in the world, West Nile Virus is primarily spread to humans through mosquitos. West Nile virus infections may produce febrile illness or severe fever; however, most individuals who are infected with the virus are asymptomatic. Outbreaks of West Nile are so dangerous because, currently, there are not any available vaccines or antiviral treatments. 

West Nile

Dengue viruses are vector-borne diseases commonly found in tropical and subtropical climates that cause fever, nausea, rashes and body aches. In high risk areas, Dengue is the leading cause of death therefore it is essential that there is appropriate investment in surveillance methods that can prevent outbreaks of Dengue. 

A viral disease most often spread to humans from domesticated animals in sub-Saharan Africa. Rift Valley Fever is more likely to cause severe illness in the animals than in the humans the virus is spread to.

Yellow Fever Virus is primarily spread through mosquitoes in densely populated areas of Africa.

Yellow Fever Virus (YFV)

First isolated in the Zika forest in Uganda, this virus is spread primarily by mosquitos in tropical and subtropical climates.

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