Chikungunya, enfermedad emergente en América Latina. Descripción de los primeros casos en Chile

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dc.contributor.authorPerret, Cecilia
dc.contributor.authorVizcaya, Cecilia
dc.contributor.authorWeitzel, Thomas
dc.contributor.authorRosas, Reinaldo
dc.contributor.authorDabanch, Jeannette
dc.contributor.authorMartínez, Constanza
dc.date.accessioned2022-05-13T20:15:32Z
dc.date.available2022-05-13T20:15:32Z
dc.date.issued2018
dc.description.abstractBackground: Chikungunya (CHIK) was introduced in The Americas in 2013, spreading rapidly. In 2014, the first imported case was diagnosed in Chile. Aim: To identify patients with clinical suspicion of CHIK and describe their clinical and laboratory characteristics. Patients and Methods: Patients with suspected CHIK were enrolled. All were confirmed by PCR, IgM or IgG CHIK. A structured survey was applied, which included demographic questions, travel characteristics, clinical manifestations, and laboratory results. Results: 21 patients were enrolled and CHIK was confirmed in 16, who were further analyzed; 12 were female (75%), average age 39 years (27-52). The Caribbean and South Americawere the most frequent sites of exposure. In 63%, the initial symptom was arthralgia. Most frequent symptoms were myalgias, malaise (both 100%), fever, and polyarthralgia (both 94%). The median duration of arthralgias was 90 days (3-262); in 53% arthralgias lasted ≥ 3 months. Main joints involved were ankles, hands, and wrists; 87% reported invalidating pain. Arthritis lasted longer in men than in women (p < 0.001). 38% of patients presented lymphopenia and one patient mild thrombocytopenia. Two patients required hospitalization, one with severe headaches, the other with acute pyelonephritis. Conclusions: Chikungunya should be suspected in returning travelers presenting with fever and severe polyarthralgia. Travelers to endemic areas should apply prevention measures to avoid mosquito bites.es
dc.description.versionVersión Publicadaes
dc.identifier.citationPerret Cecilia, Vizcaya Cecilia, Weitzel Thomas, Rosas Reinaldo, Dabanch Jeannette, Martínez Constanza. Chikungunya, enfermedad emergente en América Latina. Descripción de los primeros casos en Chile. Rev. chil. infectol. [Internet]. 2018 Ago [citado 2022 Mayo 13] ; 35( 4 ): 413-419. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182018000400413&lng=es. http://dx.doi.org/10.4067/s0716-10182018000400413.es
dc.identifier.urihttp://dx.doi.org/10.4067/s0716-10182018000400413es
dc.identifier.urihttp://hdl.handle.net/11447/6095
dc.language.isoeses
dc.subjectChikungunyaes
dc.subjectChilees
dc.subjectArtropatíaes
dc.subjectSerie clínicaes
dc.subjectMedicina del viajeroes
dc.subjectArtralgiaes
dc.subjectArthropathyes
dc.subjectClinical caseses
dc.subjectTravel medicinees
dc.subjectArthralgiaes
dc.titleChikungunya, enfermedad emergente en América Latina. Descripción de los primeros casos en Chilees
dc.title.alternativeChikungunya, emerging disease in Latin America. Description of the first cases in Chilees
dc.typeArticlees
dcterms.sourceRevista chilena de infectologíaes

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