2.3 Differential Diagnosis

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• Arboviruses: Chikungunya virus
• Other viral diseases: Measles; Rubella and other viral exanthems; Epstein-Barr Virus (EBV); Enteroviruses; Influenza; Hepatitis A; Hantavirus.
• Bacterial diseases: Meningococcemia, Leptospirosis, Enteric fever, Melioidosis, Rickettsia diseases, Scarlet fever, Sepsis.
• Parasitic diseases: Malaria.

Differentiating points between dengue fever and chikungunya fever

While fever, arthralgia, rash, malaise and leukopenia are common in both Chikungunya and dengue, symmetric arthritis of small joints is pathognomonic of the former. A bleeding tendency and pronounced thrombocytopenia are more frequent in dengue.

Table 2 : Difference between Dengue & Chikungunya