A Case of Initially Undiagnosed Chikungunya Arthritis Developing into Chronic Phase in a Nonendemic Area
Joint Authors
Chan, Pui Shan Julia
Leung, Moon Ho
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
This case report described a 40-year-old lady presented with fever, headache, arthralgia, myalgia, and impaired liver function after returning from the Philippines.
Chikungunya virus (CHIKV) and dengue serology were negative.
Eight weeks after initial presentation, she experienced inflammatory polyarthritis mimic rheumatoid arthritis.
This time CHIKV-IgM was detected, together with a >4-fold rise of CHIKV-polyvalent-antibody titre.
The first CHIKV-IgM negative sample was reexamined and was CHIKV-PCR positive.
CHIKV infection was confirmed and diagnosis of CHIKV-related arthritis was made.
A quarter of CHIKV infected individuals develop post-CHIKV rheumatisms that affect quality of life and may need treatment with Disease Modifying Antirheumatic Drugs.
This case highlights the importance of considering CHIKV infection in patients present with symmetrical polyarthritis particularly after travel to endemic regions.
Testing of both CHIKV acute and convalescent-phase serum for CHIKV antibodies and PCR is recommended in suspicious case.
American Psychological Association (APA)
Chan, Pui Shan Julia& Leung, Moon Ho. 2017. A Case of Initially Undiagnosed Chikungunya Arthritis Developing into Chronic Phase in a Nonendemic Area. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146630
Modern Language Association (MLA)
Chan, Pui Shan Julia& Leung, Moon Ho. A Case of Initially Undiagnosed Chikungunya Arthritis Developing into Chronic Phase in a Nonendemic Area. Case Reports in Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1146630
American Medical Association (AMA)
Chan, Pui Shan Julia& Leung, Moon Ho. A Case of Initially Undiagnosed Chikungunya Arthritis Developing into Chronic Phase in a Nonendemic Area. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146630
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146630