Bętkowska Aleksandra, Hanke Julia, Krankowska Dagny, Mikuła Tomasz, Wiercińska-Drapało Alicja
Students' Scientific Society of the Department of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw.
Department of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw.
Przegl Epidemiol. 2022;76(4):450-457. doi: 10.32394/pe.76.42.
Arthropod-borne viral infections caused by dengue virus (DENV) and chikungunya virus (CHIKV) are prevalent in the same regions and are spread by the same mosquito type (Aedes) and have similar clinical manifestations. This study emphasized the challenges of diagnosing fever in a patient returning from a tropical area. We report a case of a 52-year-old patient who presented with fever, myalgia, and headache after travelling to Laos and Thailand. After ten days of the disease, the diagnosis of chikungunya was made. Recent travel history should be a standard part of assessment when consulting febrile patients and is essential for further diagnosis. Malaria should permanently be excluded from travellers returning from tropical regions with fever. In the differential diagnosis, dengue, chikungunya, and other mosquito-borne infections should be considered. Patients wishing to travel to such areas need to be educated beforehand on the necessary preventative measures.
由登革热病毒（DENV）和基孔肯雅病毒（CHIKV）引起的节肢动物传播的病毒感染在相同地区流行，由同一种蚊子（伊蚊）传播，并且具有相似的临床表现。本研究强调了诊断来自热带地区患者发热的挑战。我们报告一例52岁患者，其在前往老挝和泰国旅行后出现发热、肌痛和头痛。疾病发作十天后，确诊为基孔肯雅热。在诊治发热患者时，近期旅行史应作为评估的标准组成部分，对进一步诊断至关重要。对于从热带地区发热归来的旅行者，应始终排除疟疾。在鉴别诊断中，应考虑登革热、基孔肯雅热和其他蚊媒感染。希望前往此类地区旅行的患者需要提前接受必要预防措施的教育。
