Since 2006, parts of Asia and the Indian Ocean region have reported chikungunya fever activity. Several countries have increased surveillance for this disease, and cases continue to be reported throughout this region.
Clinicians should be aware of the ongoing global chikungunya activity. Chikungunya may present in a similar fashion to malaria and dengue, with fever, chills, and generalized myalgias. However, after the acute illness, patients with chikungunya may have a prolonged course of arthralgias or arthritis, which may lead health-care providers to consider and begin testing for rheumatic diseases. These signs and symptoms can persist for several months.