Singh Gurjot, Trehan Shubam, Goswami Kanishka, Kachhadia Meet Popatbhai, Puri Piyush
Internal Medicine, Maharaj Sawan Singh Charitable Hospital, Beas, IND.
Cureus. 2024 Jul 22;16(7):e65085. doi: 10.7759/cureus.65085. eCollection 2024 Jul.
Chikungunya virus (CHIKV) is an arbovirus endemic to tropical and subtropical regions, primarily known for causing fever and severe joint pain. However, its capacity to induce neurological complications is less frequently documented. This case report highlights a rare presentation of carpal tunnel syndrome (CTS) following CHIKV infection, expanding the spectrum of CHIKV manifestations beyond its common arthropathic effects. We detail the case of a 45-year-old male who developed acute CTS symptoms, including pain, numbness, and motor dysfunction in the right thumb, six weeks after experiencing typical CHIKV symptoms of high-grade fever and arthralgia. Despite an initial treatment regimen of corticosteroids aimed at reducing inflammation, the patient's symptoms showed minimal improvement, prompting surgical intervention. Following carpal tunnel release surgery, the patient experienced significant relief and functional recovery. This case underscores the importance of considering CHIKV in the differential diagnosis of CTS in endemic areas, particularly when preceded by typical viral infection symptoms. It also supports surgical intervention as a viable treatment option for CTS associated with CHIKV when conservative management is ineffective, highlighting the need for an interdisciplinary approach in treating atypical manifestations of CHIKV infections.
基孔肯雅病毒（CHIKV）是一种流行于热带和亚热带地区的虫媒病毒，主要以引起发热和严重关节疼痛而闻名。然而，其诱发神经并发症的能力鲜有记录。本病例报告突出了基孔肯雅病毒感染后罕见的腕管综合征（CTS）表现，扩展了基孔肯雅病毒表现的范围，超出了其常见的关节病影响。我们详细介绍了一例45岁男性病例，该患者在经历了高热和关节痛等典型基孔肯雅病毒症状六周后，出现了急性腕管综合征症状，包括右手拇指疼痛、麻木和运动功能障碍。尽管最初采用了旨在减轻炎症的皮质类固醇治疗方案，但患者症状改善甚微，促使进行手术干预。腕管松解手术后，患者症状明显缓解且功能恢复。该病例强调了在流行地区对腕管综合征进行鉴别诊断时考虑基孔肯雅病毒的重要性，特别是在出现典型病毒感染症状之后。它还支持在保守治疗无效时，手术干预作为与基孔肯雅病毒相关的腕管综合征的一种可行治疗选择，突出了在治疗基孔肯雅病毒感染的非典型表现时采用跨学科方法的必要性。
