Title: Atypical Presentation of Chikungunya Virus Infection: Severe Generalized Pruritus Preceding Delayed-Onset Polyarthralgia – A Case ReportAuthors:Muhammad Faizan Ali1, Muhammad Hamza2, Hassan Mehdi1, Rahul Falodia3 , Fareena Ambreen4, Muhammad Luqman Khan2, Rida Shakeel5Abdul Eizad Asif6 Fazeela Bibi7 Said Hamid Sadat8Affiliations:Department of Medicine, Jinnah Postgraduate Medical Center, Karachi, Pakistan, faizi.qamar778@gmail.com; hassanrajput40@gmail.comDepartment of Medicine, Saidu Medical College, Swat, Pakistan, muhammadhamza222000@gmail.com, mkhanluqman@gmail.comDepartment of Medicine, All India Institute of Medical Sciences, Jodhpur drrahulfalodia@gmail.comDepartment of Medicine, Khyber Girls Medical College, Peshawar, Pakistan, fareenaa07@gmail.comDepartment of Medicine, Dow Medical College, Karachi, Pakistan, ridashakeel92@gmail.comShalamar Medical and Dental College, Lahore, Pakistan, abdul.eizad1@gmail.comJinnah Medical and Dental College, 22-23 Shaheed-e-Millat Rd, Karachi City, Sindh, Pakistan, fazeelabibi@hotmail.comKabul university of medical science abu ali ibn sina, saidhamidsadat788@gmail.comCorresponding Author: Said Hamid SadatEmail address: saidhamidsadat788@gmail.com