Protracted rheumatic manifestations in travelers
Autor(es): Kivity Shaye, Meltzer Eyal, Bin Hanna, Schwartz Eli
Resumo: Travel returnees may complain of protracted rheumatic symptoms, but there are sparse data regarding their causes. We aimed to describe travelers returning with new rheumatic symptoms. We conducted a retrospective analysis of Israeli travelers who were referred to the Sheba Medical Center from January 2005 to January 2010 with prolonged (>4 weeks) nontraumatic arthralgia or arthritis. During 5 years, 14 patients (7 men - 7 women) with posttravel arthritis/arthralgia were seen. A total of 5 patients were diagnosed with reactive arthritis, - 9 were diagnosed with rheumatic symptoms related to infection with Alphaviruses: Chikungunya virus or Ross River virus. Some disability remained for several months in most cases, but only 1 case of reactive arthritis eventually evolved to a chronic spondyloarthropathy. Travel-related arthritis may persist even several months after the exposure. Assessing patients' travel history may help in the evaluation of some cases with rheumatic manifestations. Their prognosis may be better than that of autoimmune arthritides.
Palavras-Chave: Ross River virus; Chikungunya virus; Reactive arthritis; Arthritis; Rheumatic disease
Imprenta: Journal of Clinical Rheumatology, v. 17, n. 2, p. 55-58, 2011
Identificador do objeto digital: 10.1097/RHU.0b013e3182108187
Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Epidemiology ; Chikungunya virus - Public health
Data de publicação: 2011
