Autor(es): Nappe Thomas M, Chuhran Craig M, Johnson Steven A

Resumo: The Chikungunya (CHIK) virus was recently reported by the CDC to have spread to the United States. We report an early documented case of CHIK from the state of Pennsylvania after a patient recently returned from Haiti in June of 2014. A 39-year-old man presented to the emergency department complaining of fever, fatigue, polyarthralgias - a diffuse rash for two days. Four days before, he returned from a mission trip to Haiti - reported that four of his accompanying friends had also become ill. A CHIK antibody titer was obtained - it was found to be positive. During his hospital stay, he responded well to supportive care, including anti-inflammatories, intravenous hydration - anti-emetics. His condition improved within two days - he was ultimately discharged home. Manifestations of CHIK can be similar to Dengue fever, which is transmitted by the same species of mosquito, - occasionally as a co-infection. Clinicians should include Chikungunya virus in their differential diagnosis of patients who present with fever, polyarthralgia - rash with a recent history of travel to endemic areas, including those within the United States.

Palavras-Chave: Arbovirus; Chikungunya virus; Mosquito-borne disease; Polyarthralgia

Imprenta: World Journal of Emergency Medicine, v. 7, n. 1, p. 65-67, 2016

Identificador do objeto digital: 10.5847/wjem.j.1920-8642.2016.01.012

Descritores: Chikungunya virus - Arbovirus ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue

Data de publicação: 2016