Acute pancreatitis as an chikungunya atypical manifestation. A case report
Keywords:
chikungunya, pancreatitis, atypical manifestations, myocarditis, tropicalAbstract
Chikungunya fever is a tropical disease transmitted to humans by the mosquito bite Aedes aegypti and Aedes albopictus. It is characterized clinically by causing high fever, headache, myalgias and arthralgias; usually has a benign behavior, but cases with atypical manifestations that produce mortality are reported. It is an emerging virus in the 21st century.
We report a case of a 52-year-old female patient living in Quito, Ecuador, with abdominal pain, chest pain, arthralgia, myalgias and fever. It was treated by acute pancreatitis of origin to determine, however by epidemiological antecedents and suggestive clinical, we decided to request IgM for chikungunya which was positive. The patient received treatment with hydration and analgesia, with adequate clinical response
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References
Rajapakse S, Rodrigo C, Rajapakse A. Atypical manifestations of chikungunya infection. Trans R Soc Trop Med Hyg 2010;104(2):89-96.
Ministerio de Salud: Las condiciones climáticas han incrementado los casos de chikungunya en Ecuador | ANDES [Internet]. [cited 2017 Oct 28]. Available from: http://www.andes.info.ec/es/noticias/ministerio-salud-condiciones-climaticas-han-incrementado-casos-chikungunya-ecuador.html
Martínez Fernández L, Torrado Navarro YP. Fiebre chikungunya TT - Chikungunya fever. Rev Cubana Med 2015;54(1):74-96.
Velázquez DL, Cuéllar IJFB, Riaño IIMA. Miocarditis viral en el adulto. Viral myocarditis in the adult. Rev Cubana Med 2011;50(1):70-82.
Torres JR, Leopoldo Códova G, Castro JS, Rodríguez L, Saravia V, Arvelaez J, et al. Chikungunya fever: atypical and lethal cases in the Western hemisphere: A Venezuelan experience. IDCases. 2015;2(1):6-10.
Horcada ML, Díaz-Calderón C, Garrido L. Fiebre chikungunya. Manifestaciones reumáticas de una infección emergente en Europa. Reumatol Clin 2015;11(3):161-164.
Muñoz CM, Castillo JO, Salas D, Valderrama MA, Rangel CT, Vargas HP, et al. Fiebre por virus chikungunya en neonatos y lactantes con manifestaciones mucocutáneas atípicas, municipios de Cúcuta, Los Patios y Villa del Rosario, Norte de Santander, Colombia, 2014. (Spanish). Chikungunya fever neonates infants with Atyp mucocutaneousmanifestations, Munic Cucuta, Los Patios Villa delRosario, state Norte Santander, Colomb 2014 [Internet]. 2016;36(3):1. Available from: http://bd.univalle.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edo&AN=115468288&lang=es&site=eds-live
Burt FJ, Chen W, Miner JJ, Lenschow DJ, Merits A, Schnettler E, et al. Chikungunya virus: an update on the biology and pathogenesis of this emerging pathogen. Lancet Infect Dis [Internet]. 2017;17(4):e107-117. Available from: http://dx.doi.org/10.1016/S1473-3099(16)30385-1
Economou M, Zissis M. Infectious cases of acute pancreatitis. [cited 2017 Nov 13]; Available from: http://www.annalsgastro.gr/files/journals/1/articlessos/4/submission/editor/4-16-1-ED.pdf
Madaria E, Martinez J. Páncreas y vías biliares. Unidad Patol Pancreática Unidad Gastroenterol y Endosc Dig 2010;627-44.
Cercenado E, Coordinadora RC, Negredo AI, Autores A, Franco L, Ma N, et al. Procedimientos en Microbiología Clínica Recomendaciones de la Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. [cited 2017 Nov 13]; Available from: https://www.seimc.org/contenidos/documentoscientificos/procedimientosmicrobiologia/seimc-procedimientomicrobiologia47.pdf
Veb E, Las B, Tac E. Cartas al Editor Pancreatitis aguda como manifestación atípica de infección por virus de Epstein-Barr. Rev esp enferm Dig (Madrid. 2013;1051057(7):437-438.
Tratamiento de la D. Guía de Práctica Clínica gpc. [cited 2017 Nov 13]; Available from: www.cenetec.salud.gob.mx
Ramírez Marrero MA, de Mora Martín M. Etiología y biopatogenia de la miocarditis. Cardiocore [Internet]. 2012;47(4):135-138. Available from: http://dx.doi.org/10.1016/j.carcor.2012.09.002
Mas-stachurska A, Sitges M. Cardiocore Diagnosis of myocarditis. The role of imaging techniques. 2014;7(4):143-146.
Familiar López I, Bello HH. Miocarditis viral. 2006 [cited 2017 Nov 13];13(3). Available from: http://www.medigraphic.com/pdfs/medsur/ms-2006/ms063b.pdf
Dominguez F, Kühl U, Pieske B, Garcia-Pavia P, Tschöpe C. Actualización sobre miocarditis y miocardiopatía inflamatoria: el resurgir de la biopsia endomiocárdica. Rev Esp Cardiol. 2016;69(2):178-187.
Pancreatitis Aguda: Revisión [Internet]. [cited 2017 Nov 13]. Available from: https://med.unne.edu.ar/revista/revista112/pancrea.htm
Montero A. Fiebre chikungunya - Una nueva amenaza global. Med Clin (Barc). 2015;145(3):118-123.
Guía de manejo clínico para la infección por el virus chikungunya (CHIKV). [cited 2017 Nov 13]; Available from: http://www1.paho.org/dor/images/stories/archivos/chikungunya/guia_chikv2.pdf?ua=1
Zamora Vargas F. Diagnóstico y manejo clínico del dengue, chikungunya y ZIKA. [cited 2017 Nov 13]; Available from: http://web.minsal.cl/wp-content/uploads/2016/05/3.-Diagnóstico-y-manejo-clínico-del-Dengue-CHIK-Zika.-F.-Zamora.pdf
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Copyright (c) 2017 Karen Alarcón, Marcia Horna, Wendy Calderón, Jaysoom Abarca
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