2018, Number 3
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Med Int Mex 2018; 34 (3)
Chikungunya disease
Córdova-Pluma VH, Vega-López CA, Alarcón-Sotelo A, Salinas-Lezama E
Language: Spanish
References: 27
Page: 497-505
PDF size: 390.74 Kb.
ABSTRACT
Chikungunya is an infectious disease caused by an alphavirus and transmitted to
humans by a mosquito of the genus
Aedes species
aegypti and
albopictus. The name
is originated in Tanzania and means “hunched or twisted man”; in Mexico the first
case of chikungunya appeared in a woman of 39 years of age who traveled to the
Caribbean. During the year 2015 there were confirmed 11,577 cases. A mortality of
0.4% is calculated; however, it increases in elderly people with concomitant diseases;
the recovery of the disease varies according to the age and the diagnosis is established
by the detection in the blood of the antibodies produced. There is no treatment or
preventive vaccine. Rest, fluid intake and acetaminophen are recommended. We
present the case of a 65 year-old female patient, native to and resident in the city of
Tapachula, Chiapas. She presented with a clinical picture of five days of evolution
characterized by myalgias, arthralgia, fever of 38
ºC, skin rash, holocraneal headache,
edema of pelvic limbs and lymphadenopathy in the neck region. Chikungunya
virus infection was documented after the work up of several studies as the cause of
the mentioned symptoms. Chikungunya is a disease that is generating a very serious
problem in our country, not only because of its impact on health, but also because
of the great economic loss it entails.
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