{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:04Z","timestamp":1756278604999,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,8]]},"abstract":"<jats:p>We describe a 3-month-old male infant who presented with acute onset fever, irritability and marked tachycardia. ECG was suggestive of atrial tachycardia. He developed erythematous blanchable skin rash on day 2 of illness, which progressed to vesiculobullous lesions over a few days\u2019 time. The child was managed with intravenous adenosine, carefully monitored fluid boluses, oxygen supplementation and close monitoring. Tachycardia improved within 24\u2009hours. Blood for Chikungunya PCR was positive. The child was discharged after 5 days of hospitalisation with bullous lesions evolving into hyperpigmented macules followed by crusts and hypopigmentation by day 10.<\/jats:p>","DOI":"10.1136\/bcr-2016-218687","type":"journal-article","created":{"date-parts":[[2017,9,23]],"date-time":"2017-09-23T05:05:14Z","timestamp":1506143114000},"page":"bcr-2016-218687","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Fever, marked tachycardia and vesiculobullous rash in an infant with Chikungunya fever"],"prefix":"10.1136","volume":"2017","author":[{"given":"Nirupa","family":"Chandorkar","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Holy Family Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Holy Family Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Holy Family Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumbul","family":"Warsi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Holy Family Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,23]]},"reference":[{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.1","unstructured":"Halstead SB . et al Chikungunya. In: Feigin RD , Cherry RD , Demmler-Harrison RD , Kaplan RD , . eds. Textbook of Pediatric Infectious Diseases. 7th\u00a0Edition. Philadelphia: Elsevier Saunders, 2014:2241\u20138."},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.2","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-009-0049-6"},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.3","unstructured":"Why Delhi is gripped by chikungunya fears, 2016 (3 Nov 2016) http:\/\/www.bbc.com\/news\/world-asia-india-37358468."},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.4","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-012-0007-7"},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2010.04644.x"},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.6","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.60355"},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.7","doi-asserted-by":"crossref","first-page":"290","DOI":"10.4103\/0019-5154.82483","article-title":"Mucocutaneous manifestations of chikungunya Fever: a study from an epidemic in coastal karnataka","volume":"56","author":"Bhat","year":"2011","journal-title":"Indian J Dermatol"},{"key":"2025082623283216000_2017.sep21_1.bcr-2016-218687.8","doi-asserted-by":"crossref","unstructured":"Kumar A , Best C , Benskin G . Epidemiology, clinical and laboratory features and course of Chikungunya among a cohort of children during the first caribbean epidemic. J Trop Pediatr 2016;63.doi:10.1093\/tropej\/fmw051","DOI":"10.1093\/tropej\/fmw051"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:28:38Z","timestamp":1756276118000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,23]]},"references-count":8,"alternative-id":["10.1136\/bcr-2016-218687"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218687","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,9,23]]}}}