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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Chikungunya and Myositis: A Case Report in Brazil
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Chikungunya and Myositis: A Case Report in Brazil

机译：基孔肯雅热和肌炎：巴西的病例报告

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Chikungunya Virus (CHIKV) is a well-described alpha virus that causes infection in humans. The main symptoms are fever, rash and arthralgia and recently neurological disorders have been reported, in particular encephalitis. It is uncertain whether neurological symptoms are due to persistence of the virus or an ineffective immune response. One rarely described neurologic syndrome is myositis. In this paper, we report the case of a 19-year-old woman with mental confusion and aggressiveness two days after complaints of fever and arthralgia. On clinical evaluation, the patient had power 5/5 in the upper limbs and 3/5 in the lower limbs. Electromyography revealed the presence of myogenic potentials with reduced amplitudes and early recruitment predominantly in the proximal muscle. Two weeks later, she complained of muscle weakness of the lower limbs that started 15 days after acute Chikungunya infection. The patient improved within two months with only supportive care.
机译：基孔肯雅热病毒（CHIKV）是一种众所周知的alpha病毒，可引起人类感染。主要症状是发烧，皮疹和关节痛，最近有神经系统疾病的报道，特别是脑炎。尚不确定神经系统症状是由于病毒的持久性还是无效的免疫反应所致。一种罕见的神经系统综合征是肌炎。在本文中，我们报道了一名19岁女性在发烧和关节痛后两天出现精神错乱和攻击性的情况。根据临床评估，患者上肢的力量为5/5，下肢的力量为3/5。肌电图显示存在肌电势，其幅度减小且主要在近端肌肉中早期募集。两周后，她抱怨急性基孔肯雅热感染15天后开始出现下肢肌肉无力。患者仅需支持治疗即可在两个月内康复。

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