Chikungunya Virus: A Comprehensive Insight of Symptoms, Pathogenesis and Epidemiological Trends

Abdul Qader

Abstract


Chikungunya virus (CHIKV), an alphavirus transmitted by mosquitoes, has re-emerged recently, causing significant global outbreaks. Infection leads to chikungunya fever (CHIKF), an acute febrile illness primarily characterized by severe joint pain and myalgia, which can persist for weeks to months. The pain is much more pronounced and localized to the joints and tendons in chikungunya fever. Although CHIKF is usually self-limiting, severe cases with complications like persistent systematic clinical manifestations and fatalities have been documented. The virus’s resurgence is likely driven by factors such as viral evolution, globalization, and climate change, exacerbated by the absence of licensed vaccines or antiviral therapies. In light of its expanding range and unpredictable outbreaks, CHIKV has become a major global health threat. No specific and effective antiviral therapy is available, and vaccines are still in trial. The only effective preventive measures consist of individual protection against mosquito bites and vector control. The main objective of this study is to investigate the clinical manifestations, pathogenesis and epidemiology of CHIKV disease.


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Kraemer MU, Sinka ME, Duda KA, Mylne AQ, Shearer FM, Barker CM, Moore CG, Carvalho RG, Coelho GE, Van Bortel W, Hendrickx G. The global distribution of the arbovirus vectors Aedes aegypti and Ae. albopictus. eLife.;4:e08347. https://doi.org/10.7554/eLife.08347

Ross RW. The Newala epidemic: III. The virus: isolation, pathogenic properties and relationship to the epidemic. Journal of Hygiene. 1956;54(2):177-191. https://doi.org/10.1017/s0022172400044442

Faria NR, Lourenço J, de Cerqueira EM, de Lima MM, Pybus O, Alcantara LC. Epidemiology of chikungunya virus in Bahia, Brazil, 2014-2015. PLoS Currents. 2016;8:ecurrents-outbreaks. http://dx.doi.org/10.1371/currents.outbreaks.c97507e3e48efb946401755d468c28b2

Qader A, Tariq H, Hayat MK. Risk of zoonotic transmission of COVID-19 during Eid-Ul-Fitr in Pakistan. Health Dynamics. 2024;1(4):108-110. https://doi.org/10.33846/hd10401

Bettis AA, Jackson ML, Yoon IK, Breugelmans JG, Goios A, Gubler DJ, Powers AM. The global epidemiology of chikungunya from 1999 to 2020: A systematic literature review to inform the development and introduction of vaccines. PLoS Neglected Tropical Diseases. 2022;16(1):e0010069. https://doi.org/10.1371/journal.pntd.0010069

da Costa VG, Saivish MV, Sinhorini PF, Nogueira ML, Rahal P. A meta-analysis of Chikungunya virus in neurological disorders. Infectious Diseases Now. 2024;54(5):104938. https://doi.org/10.1016/j.idnow.2024.104938

Irsa S, Abdul Q, Zain A, Hamza T, Mariam D, Sadia R, Ali Z. Monkeypox Virus a Rising Concern in Current age: A Mini Review on Epidemiology, Clinical Manifestations and Therapeutic interventions. The Journal of Medical Research. 2023;9(3):58-62. https://doi.org/10.31254/jmr.2023.9306

Calvez E, Miot EF, Keosenhom S, Vungkyly V, Viengphouthong S, Bounmany P, Brey PT, Marcombe S, Grandadam M. Low Transmission of Chikungunya Virus by Aedes aegypti from Vientiane Capital, Lao PDR. Pathogens. 2023;12(1):31. https://doi.org/10.3390/pathogens12010031

Hayat AQ, Akash MS. Effect of Novel COVID-19 Infection on Different Organs of Human Body: A Narrative Review. Journal of Islamabad Medical & Dental College. 2020;9(4):303-306. Available from: https://jimdc.org.pk/index.php/JIMDC/article/view/532/517

Burt FJ, Rolph MS, Rulli NE, Mahalingam S, Heise MT. Chikungunya: a re-emerging virus. The Lancet. 2012;379(9816):662-671. https://doi.org/10.1016/s0140-6736(11)60281-x

Bonifay T, Vesin G, Bidaud B, Bonnefoy C, Dueymes M, Nacher M, Djossou F, Epelboin L. Clinical characteristics and predictive score of dengue vs. chikungunya virus infections. Medecine et Maladies Infectieuses. 2019;49(4):250-256. https://doi.org/https://doi.org/10.1016/j.medmal.2018.09.010

Nguyen TV, Ngwe Tun MM, Cao MT, Dao HM, Luong CQ, Huynh TK, Nguyen TT, Hoang TN, Morita K, Le TQ, Pham QD. Serological and molecular epidemiology of chikungunya virus infection in Vietnam, 2017–2019. Viruses. 2023;15(10):2065. https://doi.org/10.3390/v15102065

Puntasecca CJ, King CH, LaBeaud AD. Measuring the global burden of chikungunya and Zika viruses: A systematic review. PLoS Neglected Tropical Diseases. 2021;15(3):e0009055. https://doi.org/10.1371/journal.pntd.0009055

Nguyen A, Lee P, Rodriguez EK, Chahal K, Freedman BR, Nazarian A. Addressing the growing burden of musculoskeletal diseases in the ageing US population: challenges and innovations. The Lancet Healthy Longevity. 2025;6(5):100707. https://doi.org/https://doi.org/10.1016/j.lanhl.2025.100707

Palepu S, Elbuluk N, Taylor S. Application of patient-reported outcomes in dermatology clinical trials: A comprehensive review of quality of life, mental health, and symptom measures. JAAD Reviews. 2025;4:133-140. https://doi.org/https://doi.org/10.1016/j.jdrv.2025.03.009.

Łagowski W, Grodzka O, Domitrz I. Atypical neurological symptoms at high altitude: a systematic literature review. Travel Medicine and Infectious Disease. 2025;66:102867. https://doi.org/https://doi.org/10.1016/j.tmaid.2025.102867

Kamal M, Kenawy MA, Rady MH, Khaled AS, Samy AM. Mapping the global potential distributions of two arboviral vectors Aedes aegypti and Ae. albopictus under changing climate. PloS One. 2018;13(12):e0210122. https://doi.org/10.1371/journal.pone.0210122

Peters J, Runnels G, Lauinger A, Murphy T, Griffith A, Slicho T. A review of osteopathic and related manipulative treatments for improving symptoms of gastrointestinal distress in neurological disorders. International Journal of Osteopathic Medicine. 2025;57:100766. https://doi.org/https://doi.org/10.1016/j.ijosm.2025.100766

Pedersen M, Engedal MS, Larsen MT, Kornblit BT, Lomborg K, Jarden M. Living with a chronic hematological malignancy: Perspectives on PRO-based management of symptoms. European Journal of Oncology Nursing. 2024;73:102713. https://doi.org/https://doi.org/10.1016/j.ejon.2024.102713

Yan R, Hu Y, Yang J, Wang H, Wang Y, Song G. Depressive symptoms trajectories and cardiovascular disease in Chinese middle-aged and older adults: A longitudinal cohort study. Journal of Affective Disorders. 2025;380:456-465. https://doi.org/https://doi.org/10.1016/j.jad.2025.03.154

Nasif MA, Haider N, Muntasir I, Qayum MO, Hasan MN, Hassan MR, Khan MH, Sultana S, Ferdous J, Prince KT, Rudra M. The reappearance of Chikungunya virus in Bangladesh, 2024. IJID Regions. 2025;16:100664. https://doi.org/https://doi.org/10.1016/j.ijregi.2025.100664

Gonçalves WA, de Sousa CD, Teixeira MM, Souza DG. A brief overview of chikungunya-related pain. European Journal of Pharmacology. 2025;994:177322. https://doi.org/https://doi.org/10.1016/j.ejphar.2025.177322

Bartok B, Firestein GS. Fibroblast‐like synoviocytes: key effector cells in rheumatoid arthritis. Immunological Reviews. 2010;233(1):233-255. https://doi.org/10.1111/j.0105-2896.2009.00859.x

Saleem A, Davis M, Rafique S, Meer S, Qader A, Aslam MN. A Critical Glance to Non-Pharmacological Management of Novel COVID-19 Infection: Non-Pharmacological Management of COVID-19 Infection. Pakistan Journal of Health Sciences. 2023;4(11):02-13. https://doi.org/10.54393/pjhs.v4i11.821

Phuklia W, Kasisith J, Modhiran N, Rodpai E, Thannagith M, Thongsakulprasert T, Smith DR, Ubol S. Osteoclastogenesis induced by CHIKV-infected fibroblast-like synoviocytes: a possible interplay between synoviocytes and monocytes/macrophages in CHIKV-induced arthralgia/arthritis. Virus Research. 2013;177(2):179-188. https://doi.org/10.1016/j.virusres.2013.08.011

Fatima N, Usman L, Qader A, Rafique S. Pathogenesis, Replication, Advance Genetic Variants and Major Organ Effects of COVID-19 Infection. A Literature Review. Helios Multidisciplinary. 2024;1(1):1-11.

Abraham R, Mudaliar P, Padmanabhan A, Sreekumar E. Induction of Cytopathogenicity in Human Glioblastoma Cells by Chikungunya Virus. PLoS One. 2013;8(9):e75854. https://doi.org/10.1371/journal.pone.0075854

Chen W, Foo SS, Rulli NE, Taylor A, Sheng KC, Herrero LJ, Herring BL, Lidbury BA, Li RW, Walsh NC, Sims NA. Arthritogenic alphaviral infection perturbs osteoblast function and triggers pathologic bone loss. Proceedings of the National Academy of Sciences. 2014;111(16):6040-5. https://doi.org/10.1073/pnas.1318859111

Roy E, Shi W, Duan B, Reid SP. Chikungunya virus infection impairs the function of osteogenic cells. mSphere. 2020;5(3):e00347-20. https://doi.org/10.1128/mSphere.00347-20

de Souza WM, Fumagalli MJ, de Lima ST, Parise PL, Carvalho DC, Hernandez C, de Jesus R, Delafiori J, Candido DS, Carregari VC, Muraro SP. Pathophysiology of chikungunya virus infection associated with fatal outcomes. Cell Host & Microbe. 2024;32(4):606-622. https://doi.org/https://doi.org/10.1016/j.chom.2024.02.011

Mudurangaplar B, Peerapur BV. Seroepidemiological survey of chikungunya in and around the regions of Bijapur (Vijayapura-North Karnataka). Journal of Clinical and Diagnostic Research. 2015;9(5):DC01-DC02. https://doi.org/10.7860/JCDR/2015/12962.5867

Wimalasiri-Yapa BMCR, Stassen L, Huang X, Hafner LM, Hu W, Devine GJ, Yakob L, Jansen CC, Faddy HM, Viennet E, Frentiu FD. Chikungunya virus in Asia–Pacific: a systematic review. Emerging Microbes & Infections. 2019;8(1):70-79. https://doi.org/10.1080/22221751.2018.1559708

Yactayo S, Staples JE, Millot V, Cibrelus L, Ramon-Pardo P. Epidemiology of Chikungunya in the Americas. The Journal of Infectious Diseases. 2016;214(suppl_5):S441-S445. https://doi.org/10.1093/infdis/jiw390

Sanyaolu A, Okorie C, Badaru O, Wynveen E, White S, Wallace W, Akl J, Freeze A, Kamel A, Madonna M, Mathur A. Chikungunya epidemiology: a global perspective. SM Journal of Public Health and Epidemiology. 2016;2(2):1028.

Dupont-Rouzeyrol M, Caro V, Guillaumot L, Vazeille M, d'Ortenzio E, Thiberge JM, Baroux N, Gourinat AC, Grandadam M, Failloux AB. Chikungunya virus and the mosquito vector Aedes aegypti in New Caledonia (South Pacific Region). Vector-Borne and Zoonotic Diseases. 2012;12(12):1036-1041. https://doi.org/10.1089/vbz.2011.0937

Horwood PF, Reimer LJ, Dagina R, Susapu M, Bande G, Katusele M, Koimbu G, Jimmy S, Ropa B, Siba PM, Pavlin BI. Outbreak of chikungunya virus infection, vanimo, papua new Guinea. Emerging Infectious Diseases. 2013;19(9):1535. https://doi.org/10.3201/eid1909.130130

Nelson J, Waggoner JJ, Sahoo MK, Grant PM, Pinsky BA. Encephalitis caused by Chikungunya virus in a traveler from the Kingdom of Tonga. Journal of Clinical Microbiology. 2014;52(9):3459-3461. https://doi.org/10.1128/jcm.01288-14

Sengupta S, Mukherjee S, Haldar SK, Bhattacharya N, Tripathi A. Re-emergence of Chikungunya virus infection in Eastern India. Brazilian Journal of Microbiology. 2020;51(1):177-182. https://doi.org/10.1007/s42770-019-00212-0

Vu DM, Jungkind D, LaBeaud AD. Chikungunya virus. Clinics in Laboratory Medicine. 2017;37(2):371-382. https://doi.org/10.1016/j.cll.2017.01.008

Harapan H, Michie A, Mudatsir M, Nusa R, Yohan B, Wagner AL, Sasmono RT, Imrie A. Chikungunya virus infection in Indonesia: a systematic review and evolutionary analysis. BMC infectious diseases. 2019;19(1):243. https://doi.org/10.1186/s12879-019-3857-y

Shabbir I, Habib F, Habib MU, Qader A, Habib A, Rafique S. Impact of Human Immunological Responses and Viral Genetic Diversity on Outbreak of Human Monkeypox Virus. A Comprehensive Literature Review Study: Impact of Immunity and Genetic Diversity on Monkeypox. Pakistan Journal of Health Sciences. 2024;5(9):3-12. https://doi.org/10.54393/pjhs.v5i09.1510

Ali I, Dasti JI. Chikungunya virus; an emerging arbovirus in Pakistan. Journal of the Pakistan Medical Association. 2018;68(2):252-257.

Bierbrier R, Javelle E, Norman FF, Chen LH, Bottieau E, Schwartz E, Leder K, Angelo KM, Stoney RJ, Libman M, Hamer DH. Chikungunya infection in returned travellers: results from the geosentinel network, 2005–2020. Journal of Travel Medicine. 2024;31(2):taae005. https://doi.org/10.1093/jtm/taae005

Qader A. Scarlet Fever: A Mini Review. Health Notions. 2024;8(7):151.

Diallo M, Thonnon J, Traore-Lamizana M, Fontenille D. Vectors of Chikungunya virus in Senegal: current data and transmission cycles. The American Journal of Tropical Medicine and Hygiene. 1999 Feb 1;60(2):281-286. https://doi.org/10.4269/ajtmh.1999.60.281

Sofyantoro F, Frediansyah A, Priyono DS, Putri WA, Septriani NI, Wijayanti N, Ramadaningrum WA, Turkistani SA, Garout M, Aljeldah M, Al Shammari BR. Growth in chikungunya virus-related research in ASEAN and South Asian countries from 1967 to 2022 following disease emergence: a bibliometric and graphical analysis. Globalization and Health. 2023;19(1):9. https://doi.org/10.1186/s12992-023-00906-z

Morrison TE. Reemergence of chikungunya virus. Journal of Virology. 2014;88(20):11644-11647. https://doi.org/10.1128/jvi.01432-14

Weaver SC. Arrival of chikungunya virus in the new world: prospects for spread and impact on public health. PLoS Neglected Tropical Diseases. 2014;8(6):e2921. https://doi.org/10.1371/journal.pntd.0002921

Sharif N, Sarkar MK, Ferdous RN, Ahmed SN, Billah MB, Talukder AA, Zhang M, Dey SK. Molecular epidemiology, evolution and reemergence of chikungunya virus in South Asia. Frontiers in Microbiology. 2021;12:689979. https://doi.org/10.3389/fmicb.2021.689979

Hakami AR, Alshamrani AA, Alqahtani M, Alraey Y, Alhefzi RA, Alasmari S, Makkawi M, Dobie G, Mir M, Alshahrani M, Dera A. Detection of chikungunya virus in the Southern region, Saudi Arabia. Virology journal. 2021;18(1):190. https://doi.org/10.1186/s12985-021-01660-7

Sam IC, Kümmerer BM, Chan YF, Roques P, Drosten C, AbuBakar S. Updates on chikungunya epidemiology, clinical disease, and diagnostics. Vector-Borne and Zoonotic Diseases. 2015;15(4):223-230. https://doi.org/10.1089/vbz.2014.1680

Dass S, Ngui R, Gill BS, Chan YF, Wan Sulaiman WY, Lim YA, Mudin RN, Chong CK, Sulaiman LH, Sam IC. Spatiotemporal spread of chikungunya virus in Sarawak, Malaysia. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2021;115(8):922-931. https://doi.org/10.1093/trstmh/trab053

Badar N, Ikram A, Salman M, Alam MM, Umair M, Arshad Y, Mushtaq N, Mirza HA, Ahad A, Farooq U, Yasin MT. Chikungunya virus: Molecular epidemiology of nonstructural proteins in Pakistan. PLoS One. 2021;16(12):e0260424. https://doi.org/10.1371/journal.pone.0260424




DOI: https://doi.org/10.33846/hd30104

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