A DESTRUCTIVE ARTHROPATHY FOLLOWING CHIKUNGUNYA VIRUS ARTHRITIS - A POSSIBLE ASSOCIATION

A DESTRUCTIVE ARTHROPATHY FOLLOWING CHIKUNGUNYA VIRUS ARTHRITIS - A POSSIBLE ASSOCIATION
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DOI:
10.1007/bf02030766
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发表时间:
1984-01-01
影响因子:
3.4
通讯作者:
SIMSON, IW
SIMSON, IW
中科院分区:
医学3区
文献类型:
--
作者:
BRIGHTON, SW;SIMSON, IW

文献摘要

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基孔肯雅病毒关节炎是在流行地区被受感染的蚊子叮咬后引起的一种急性严重多发性关节炎。随着快速的航空运输,越来越多的游客正面临潜在的感染。在病毒潜伏阶段回国的游客是否会感染本国的当地蚊子种群尚不清楚。大多数患者在几周内就会从严重的关节疼痛中恢复过来,但多达12%的患者会在数年内保留一些残留的关节症状。给出了一个病例报告,可能的基孔肯雅性关节炎进展到关节破坏,最后在15年后消退,留下破坏的跖骨头和晚期的踝关节骨关节改变的后遗症。
Chikungunya virus arthritis is an acute severe polyarthritis following upon the bite of infected mosquitoes in endemic areas. With rapid air transport an increasing number of tourists are being exposed to potential infection. Whether tourists returning home in the incubation viremic stage can infect local mosquito populations in their home countries is unknown. Most cases recover from the severe joint pains within several weeks but up to 12% retain some residual joint symptoms for years. A case report is given of probable Chikungunya arthritis progressing to joint destruction before ultimately subsiding after 15 years leaving a sequela of destroyed metatarsal heads and late osteoarthritic changes in the ankles.