Chronic Joint Disease Caused by Chikungunya Virus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with confirmed diagnosis of Chikungunya virus infection by RT-PCR or ELISA (IgG and / or IgM anti-Chikungunya) in the previous months. 2. Age: 18 years and older. 3. Persistent musculoskeletal pain or arthritis for more than 4 weeks after onset of Chikungunya virus infection. 4. Suffering musculoskeletal or joint pain maximum on analogue-visual scale of 4 or more in the last 24 hours 5. Acceptance in writing, previous information. 6. Negative urine pregnancy test.
Exclusion criteria
Exclusion criteria: 1. Rheumatoid arthritis. 2. Autoimmune diseases. 3. Symptomatic osteoarthritis prior to infection. 4. Decompensated systemic disease. 5. Creatinine 1.25 times greater than normal value or creatinine clearance less than 50 milliliters / minute (Cockfrot and Gault method). 6. Leukocytes equal to or less than 3000 cells / µL or platelet count less than 100,000 cells / µl. 7. Blood hemoglobin less than 10g / dL. 8. Increase in the last month of diastolic blood pressure to 110 mmHg or more and / or appearance of hematuria or proteinuria greater than 300 milligrams / day. 9. Pseudo intestinal obstruction. Defined as abdominal pain, with airway levels on AP and lateral lateral views of the abdomen. 10. Pregnant women or women of childbearing potential without a contraceptive method: salpingoclasia, device or hormonal, or Breastfeeding women. 11. Alcoholism and/or drug addiction. 12. Known liver disease with twice the increase in liver function tests (Aspartate amino transferase (AST), Alaninoamino transferase (ALT), alkaline phosphatase, bilirubin). 13. Presence of: Cancer. 14. Other pathologies at the discretion of the researcher.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adverse Events (Present, Absent. Adverse Events will be measured according to the Common Terminology Criteria for Adverse Events V3.0 (CTCAE). During the application of HOMEOSTEC the patient will have a cardiac monitor during 6 hours. Blood tests (pH, blood count, serum electrolytes, bleeding tests, and blood chemistry), physical examination and interrogation will be performed). Measuring time: at baseline, at 15 and 60 minutes, at 6, 24, 48 and 72 hours, at 15 and 30 days. | — |
Secondary
| Measure | Time frame |
|---|---|
| Joint pain (analogue-numeric scale of pain). Measuring time: at baseline, at 6, 24, 48 and 72 hours, at 15 and 30 days. Progression of joint disease (Routine Assessment of Patient Index Data-RAPID 3, >12 = High; between 6.1 and 12 Moderate; between 3.1 and 6 low; between 0 and 3 remission): Measuring time: at baseline, at 6, 24, 48 and 72 hours, at 15 and 30 days. | — |
Countries
Mexico
Contacts
Cancerology State Institute, Colima State Health Service