Atypical Otalgia Presentation of Chikungunya: A Case Series

Abstract

Introduction: Otalgia is not reported as a frequent manifestation of Chikungunya in the literature. Cases of otalgia in the context of Chikungunya are reported and their management is exposed. Clinical cases: Two cases of women aged 26 and 32 years who presented with fever, rash, arthralgias and unilateral otalgia with preauricular tumor are presented. Both had positive anti-Chikungunya IgM antibodies and intraparotid lymphadenopathy on ultrasound. They were treated with NSAIDs and corticosteroids with good response. Discussion: Cervical adenitis due to Chikungunya is reported with variable frequency, but not as a dominant symptom. Unilateral otalgia allows to rule out otitis. Its management is conservative with good results. Conclusion: A series of cases of unilateral reflex otalgia due to intraparotid adenitis in Chikungunya was presented, highlighting its differential diagnosis and management.