Palacios-Martínez D, Díaz-Alonso R A, Arce-Segura L J, Díaz-Vera E
Centro de Salud San Blas, Servicio Madrileño de Salud-SERMAS, Atención Primaria, Dirección Asistencial Sur, Parla, Madrid, España.
Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
Semergen. 2015 May-Jun;41(4):221-5. doi: 10.1016/j.semerg.2014.08.008. Epub 2014 Oct 17.
Chikungunya fever (CHIK) is an emerging viral disease. It is caused by the Chikungunya virus, an alphavirus from the Togaviridae family. It is transmitted to humans by the bite of infected mosquitoes, mainly Aedes aegypti and Aedes albopictus. They are also involved in the transmission of dengue, malaria, etc. CHIK is now endemic in any region of Africa and Southeast-Asia. Cases of CHIK have been reported in America, the Caribbean, and Europe (France, Italy and Spain). There are reservoirs of these mosquitoes in some regions of Spain (Catalonia, Alicante, Murcia and Balearic islands). CHIK is characterized by a sudden high and debilitating fever, and severe or disabling symmetrical arthralgia. It tends to improve in days or weeks. There are severe and chronic forms of CHIK. There is no specific treatment or prophylaxis for CHIK. An algorithm is proposed for the clinical management of CHIK based in the latest guidelines.
基孔肯雅热（CHIK）是一种新出现的病毒性疾病。它由基孔肯雅病毒引起，该病毒是披膜病毒科的一种甲病毒。它通过受感染蚊子的叮咬传播给人类，主要是埃及伊蚊和白纹伊蚊。它们也参与登革热、疟疾等的传播。目前，基孔肯雅热在非洲和东南亚的任何地区都呈地方性流行。在美国、加勒比地区和欧洲（法国、意大利和西班牙）都报告了基孔肯雅热病例。在西班牙的一些地区（加泰罗尼亚、阿利坎特、穆尔西亚和巴利阿里群岛）存在这些蚊子的滋生地。基孔肯雅热的特征是突然出现高热和使人虚弱的发热，以及严重或致残的对称性关节痛。它往往在数天或数周内好转。基孔肯雅热有严重和慢性形式。目前没有针对基孔肯雅热的特异性治疗方法或预防措施。根据最新指南，提出了一种基孔肯雅热临床管理的算法。
