Polyarthritis in four patients with chikungunya arthritis
Autor(es): Lui Nai Lee, Leong Hoe Nam, Thumboo Julian
Resumo: The incidence of chikungunya infection in Singapore has been on the rise since the first reported case in 2006. Acute polyarthritis, a common manifestation among affected patients, may precede fever - present with debilitating arthritis to rheumatologists, orthopaedists, internists - primary care physicians. The diagnosis of chikungunya infection requires careful history taking - a high index of suspicion, with supporting evidence from the reverse transcription-polymerase chain reaction or the chikungunya IgM serology test. Treatment of chikungunya arthritis usually involves non-steroidal anti-inflammatory drugs. Rarely, polyarthritis in chikungunya may persist even after resolution of the acute infection, necessitating treatment with disease-modifying anti-rheumatic drugs. In this article, we present the different manifestations of chikungunya arthritis in our local setting - review the literature.
Palavras-Chave: Arthritis; Chikungunya
Imprenta: Singapore Medical Journal, v. 53, n. 4, p. 241-243, 2012
Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Serology ; Chikungunya virus - Viral infections ; Chikungunya virus - Serology ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Immunology
Data de publicação: 2012
