Hassantoufighi Arash, Ward Ian, Higgs Jay
Department of Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.
Department of Rheumatology, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.
Mil Med. 2017 Nov;182(11):e2108-e2111. doi: 10.7205/MILMED-D-17-00088.
Chikungunya virus (CHIKV) is an arthropod-borne alphavirus initially endemic to Central and East Africa but now spreading to Asia, Europe, and most recently the Western hemisphere. CHIKV infection initially presents as an acute, nonspecific febrile syndrome with rash and polyarthralgia, later leading to a chronic arthritis clinically similar to rheumatoid arthritis. We report a case of an active duty military member infected with CHIKV while deployed to Central America, who developed chronic arthritis. Active duty military members are at higher risk of contracting CHIKV because of deployment to countries with a high prevalence of this mosquito-borne illness. Severe chronic arthritis can result from CHIKV, resulting in serious impact on fitness for military duty.
基孔肯雅病毒（CHIKV）是一种节肢动物传播的甲病毒，最初流行于中非和东非，现正向亚洲、欧洲传播，最近又传播到了西半球。CHIKV感染最初表现为伴有皮疹和多关节痛的急性非特异性发热综合征，随后会发展为临床上与类风湿性关节炎相似的慢性关节炎。我们报告了一例现役军人在部署到中美洲时感染CHIKV并发展为慢性关节炎的病例。由于被部署到这种蚊媒疾病高发的国家，现役军人感染CHIKV的风险更高。CHIKV可导致严重的慢性关节炎，从而对军事任务的适应性产生严重影响。
