Evidence map›Paper›PMID 39861851›Full record

ReviewViruses2025

Chikungunya: From Hypothesis to Evidence of Increased Severe Disease and Fatalities.

Carlos Brito, Melissa Barreto Falcão, Maria de Fatima Pessoa Militão de Albuquerque, Thiago Cerqueira-Silva, Maria Glória Teixeira, Rafael Freitas de Oliveira Franca

Abstract readReview
In one paragraph

Review in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carlos BritoPrograma de Pós-Graduação em Medicina Tropical, Centro de Ciências Médicas, Universidade Federal de Pernambuco (UFPE), Recife 50740-465, Brazil.ORCID 0000-0002-5963-8178
Melissa Barreto FalcãoUniversidade Estadual de Feira de Santana (UEFS), Feira de Santana 44036-900, Brazil.
Maria de Fatima Pessoa Militão de AlbuquerqueInstituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife 50740-465, Brazil.
Thiago Cerqueira-SilvaLaboratório de Medicina e Saúde Pública de Precisão, Fundação Oswaldo Cruz, Salvador 40296-710, Brazil.ORCID 0000-0003-4534-2509
Maria Glória TeixeiraInstituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA), Salvador 40026-010, Brazil.
Rafael Freitas de Oliveira FrancaFundação Oswaldo Cruz-Fiocruz São Paulo, Ribeirão Preto 14049-900, Brazil.ORCID 0000-0002-1846-6007

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chikungunya virus infection often manifests as an acute, self-limiting febrile illness, with arthralgia and musculoskeletal symptoms being the most commonly reported. Arthralgia can persist for months or even years, and approximately 50% of cases progress to chronic conditions. However, recent outbreaks have revealed a rising number of severe cases and fatalities. This review examines evidence from the past decade that suggests a higher incidence of severe chikungunya virus (CHIKV) infections and increased mortality rates, challenging official reports and guidelines from many countries. The literature review includes case reports, series, and studies with comparison groups to assess whether CHIKV-related mortality is underreported. Evaluating excess mortality involves analyzing consistent findings across different regions, biological plausibility, and systemic manifestations that contribute to severe outcomes. These findings aim to expand disease classifications in international guidelines and raise awareness among healthcare professionals to better identify severe CHIKV cases and related deaths. Studies were identified through PubMed using the search terms "chikungunya", "death", "severe", "pathogenesis", and "pathophysiology".

Indexed as

Chikungunya FeverChikungunya virusDisease OutbreaksHumansIncidenceSeverity of Illness Indexchikungunyaepidemiologymortalitysevere disease

Identifiers

PMID39861851
PMCPMC11768798

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.