THE INDORE unit of Indian Medical Association (IMA) held a symposium on “Chikungunya and Dengue: An overview” yesterday which shed light on the various clinical aspects of the two mosquito-borne diseases.
At the outset Dr Arvind Pancholia made a presentation on the two diseases, which dwelt on a number of things from history of the two diseases to its incidence around the globe and in the country apart from the symptoms and treatment. He pointed out that more than one type of mosquito is a carrier of the chikungunya virus.
After his brief presentation, Dr Pancholia interacted with experts from various fields. Dr Abhay Bhagwat spoke on the neurological perspective, Dr B K Sethia spoke on the diabetic perspective, Dr Pradeep Salgia on metabolic perspective, Dr Alkesh Jain on the cardiological perspective while Dr Manish Agrawal spoke on the radiological perspective in connection with the two diseases – chikungunya and dengue.
Dr Bhagwat, who said there were many cases of meningoencephalitis, none can be counted under chikungunya, as they had not recorded the antibodies level. However, there were many cases where patients showed symptoms like rashes.
Speaking from the diabetic perspective, Dr Sethia said, “Those showing chikungunya symptoms, should be very careful in diabetic cases as a single wrong medicine can lead to various complications.” He also pointed out that due to stress level or due to heavy drugs administered to cure these diseases, there might actually be new incidence of diabetes.
Dr Jain said there were no cases of cardiomyopathy in Madhya Pradesh; there were more cases in southern states in case of chikungunya. But in case of dengue, there are chances, these might surface here also, he said. Dr Salgia suggested that fluids (IV or oral) should be administered in large quantities to the patients with chikungunya or dengue.
The participating doctors were equivocal about lack of efforts on the part of IMA in waking up the government on the issue of the epidemic like situation with respect to chikungunya and dengue. “IMA should and must take efforts at the earliest to wake up the government on the issue,” the doctors opined.