{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T17:00:53Z","timestamp":1780938053899,"version":"3.54.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chikungunya virus (CHIKV) is an arbovirus causing febrile illness with musculoskeletal symptoms. Although self-limiting, Chikungunya can result in rhabdomyolysis, with the risk of acute kidney injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report three elderly men with comorbidities who developed rhabdomyolysis during the 2025 outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Clinical features included fever, myalgia, confusion, quadriplegia and muscle oedema; creatine\u00a0phosphokinase (CPK) ranged from 1105 to 46810 U\/L. RT-PCR confirmed CHIKV in two cases. All were managed with intravenous fluids and renal and electrolyte monitoring, with variable recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rhabdomyolysis is under-recognized; clinicians should maintain high suspicion in older patients with comorbidities, monitor CPK and treat promptly.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/trstmh\/trag030","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T10:27:34Z","timestamp":1775125654000},"page":"718-721","source":"Crossref","is-referenced-by-count":0,"title":["Chikungunya-associated rhabdomyolysis: a case series of three patients from Sri Lanka"],"prefix":"10.1093","volume":"120","author":[{"given":"Arjuna P","family":"De Silva","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Kelaniya Department of Medicine, , Ragama 11010 ,","place":["Sri Lanka"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1436-3881","authenticated-orcid":false,"given":"Krishanni","family":"Prabagar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Kelaniya Department of Medicine, , Ragama 11010 ,","place":["Sri Lanka"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"2026060812261234000_bib1","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1007\/s12038-008-0063-2","article-title":"Chikungunya: an overview","volume":"33","author":"Sudeep","year":"2008","journal-title":"J Biosci"},{"key":"2026060812261234000_bib2","doi-asserted-by":"publisher","first-page":"15","DOI":"10.5501\/wjv.v1.i1.11","article-title":"Emerging and re-emerging viruses: a global challenge illustrated by chikungunya virus outbreaks","volume":"1","author":"Devaux","year":"2012","journal-title":"World J 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