[Acute polyarthritis after a stay in the Caribbean].

Innere Medizin (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-09-17 DOI:10.1007/s00108-024-01773-5
Johannes Mayer, Michaela Köhm, Matthias Wahle
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Abstract

A 59-year-old female patient presented with acute polyarthritis after a holiday in the Caribbean. In addition, constitutional symptoms as well as myalgia and arthralgia were reported. Imaging demonstrated synovitis of the wrist and fingers without erosive changes. Immunoserological findings were normal with no evidence of autoimmune disease or vasculitis. Further evaluation revealed serological evidence of chikungunya virus infection.

[在加勒比海逗留后出现急性多关节炎]。
一名 59 岁的女性患者在加勒比海度假后出现急性多关节炎。此外,还伴有全身症状以及肌痛和关节痛。影像学检查显示其手腕和手指出现滑膜炎,但无侵蚀性改变。免疫血清学检查结果正常,没有自身免疫性疾病或血管炎的证据。进一步评估显示,血清学证据表明患者感染了基孔肯雅病毒。
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