Chikungunya and bilateral sacroiliitis-is there a link?

Chikungunya (CKG) is an arthritogenic mosquito-transmitted alphavirus that manifests itself as a febrile illness and often progresses to severe and incapacitating polyarthralgia (1). Several reports have demonstrated persistent polyarthritis akin to seronegative peripheral arthropathy (2). However, to our knowledge, imaging-confirmed axial disease has not been described in this context. We report the case of an Asian lady who developed axial spondyloarthropathy (SpA) after contracting CKG while visiting India during an outbreak. Informed consent was obtained from the patient.