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Sahyadri Hospitals Successfully Treats Newborn with Severe Chikungunya

Newborn exhibited high fever, poor feeding, lethargy, and a distinct rash. Dengue was initially suspected. After testing, Dengue was excluded as cause

Salil Urunkar

Pune: Sahyadri Hospitals MomStory successfully treated a newborn suffering from severe complications caused by a Chikungunya (CHIKV) infection.

The infant, initially born in stable condition and discharged after a normal delivery, was readmitted to Sahyadri Hospitals MomStory Nagar Road hospital just six days later with troubling symptoms.

The newborn exhibited high fever, poor feeding, lethargy, and a distinct rash. Given the recent rise in Dengue cases in Pune, Dengue was initially suspected. However, after testing, Dengue was excluded as the cause.

The situation escalated when the infant began experiencing convulsions on the third day of readmission. Immediate intervention with anticonvulsant medication was required to stabilize the baby.

Further diagnostics, including an EEG, lumbar puncture, and MRI, revealed signs of a brain infection. A significant drop in platelet count led to a comprehensive tropical fever panel test, which ultimately identified Chikungunya virus as the culprit.

To confirm that the infection was not congenital, the mother's antibodies were tested, and results showed no infection transfer from mother to baby. This confirmed the infection was acquired postnatally, adding complexity to the case.

The Chikungunya virus caused severe complications, including liver dysfunction, blood coagulation issues, and respiratory problems. The newborn required respiratory support and intravenous immunoglobulins to manage inflammation and support overall health.

The medical team at Sahyadri meticulously monitored and adjusted treatments throughout the 17-day ICU stay.

Efforts by medical team including Dr. Preeti Lad, Dr. Prateek Katariya, Dr. Nikita Mankar, Dr. Sushmita, and Dr. Dinesh Thakare, under the guidance of Dr. Pradeep Suryawanshi, ensured that the newborn’s condition improved significantly. The infant was eventually discharged in good health, marking a successful recovery.

Dr. Pradeep Suryawanshi, Director & HOD of Neonatology and Pediatrics noted, “This case highlights the critical importance of thorough diagnostic processes for newborns. Identifying the Chikungunya infection required a precise and responsive approach. The team’s swift action and management of complications were pivotal in the baby’s recovery.”

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