Last update July 15, 2023

Chikungunya (Alphavirus), Maternal Chikungunya virus infection

Compatible

Safe substance and/or breastfeeding is the best option.

Chikungunya virus (CHIKv) is an Alphavirus transmitted mainly by the bite of mosquitoes of the genus Aedes (Ae. aegypti and Ae. albopictus or Tiger mosquito) from infected reservoirs (humans and various animals). The disease presents with high fever and polyarthralgia; There may be headache, myalgia, conjunctivitis, nausea, vomiting, and a maculopapular rash. Complications are rare except in perinatally exposed newborns, older adults, and people with underlying medical conditions. Arthritis may persist for months. Treatment is symptomatic. (Red Book 2021-24, MedlinePlus 2021)

The mother's CHIKv-RT PCR was positive in serum, urine and milk. The baby's CHIKv serology and reverse transcription polimerase chain reaction (RT-PCR) were negative. (Campos 2017)

It has been suggested (Desgraupes 2021), but no transmission of infection through breastfeeding has been documented. (Red Book 2021-24 p.256)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

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Chikungunya (Alphavirus), Maternal Chikungunya virus infection belongs to this group or family:

References

  1. Desgraupes S, Hubert M, Gessain A, Ceccaldi PE, Vidy A. Mother-to-Child Transmission of Arboviruses during Breastfeeding: From Epidemiology to Cellular Mechanisms. Viruses. 2021 Jul 7;13(7). pii: 1312. Abstract Full text (link to original source)
  2. MedlinePlus. Virus de chikungunya Información de salud para usted. 2021 Full text (link to original source) Full text (in our servers)
  3. MedlinePlus. Chikungunya virus. Trusted Health Information for you. 2021 Full text (link to original source)
  4. Van de Perre P, Molès JP, Nagot N, Tuaillon E, Ceccaldi PE, Goga A, Prendergast AJ, Rollins N. Revisiting Koch's postulate to determine the plausibility of viral transmission by human milk. Pediatr Allergy Immunol. 2021 Jul;32(5):835-842. Abstract Full text (link to original source)
  5. Campos GS, Albuquerque Bandeira AC, Diniz Rocha VF, Dias JP, Carvalho RH, Sardi SI. First Detection of Chikungunya Virus in Breast Milk. Pediatr Infect Dis J. 2017 Oct;36(10):1015-1017. Abstract

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