Chikungunya encephalitis: report of a fatal case in Northeastern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/172415 |
Resumo: | Chikungunya, a viral infection that presents with fever, rash and polyarthritis, is usually an acute febrile illness. Uncommon neurological manifestations include meningoencephalitis, encephalitis, myelitis, Guillain-Barre syndrome, myelopathy and neuropathy. During an outbreak of the disease in La Reunion Island, abnormalities were observed in the magnetic resonance imaging (MRI) of patients with encephalitis and acute disseminated encephalomyelitis, showing bilateral, frontoparietal, white matter lesions with restricted diffusion, similar to our case. We report a 57-year-old male patient with comorbidities, admitted with high fever, arthralgia, asthenia, vomiting, psychomotor agitation, behavioral changes and seizures. Cerebrospinal fluid (CSF) values revealed pleocytosis (98 cells/mm3 with 68% lymphocytes and 12% monocytes) and high levels of protein (161 mg%). Brain MRI showed hyperintense lesions in the temporal and frontal lobes and bilaterally in the posterior thalamus. CSF serology was positive for IgM antibodies to Chikungunya virus. Encephalitis due to an acute viral infection by Chikungunya was diagnosed. The patient’s clinical condition worsened and he died on the twenty-fourth day of admission to our hospital. |
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Chikungunya encephalitis: report of a fatal case in Northeastern BrazilChikungunya encephalitisNeurological manifestationsMagnetic resonance imagingFatal casesChikungunya, a viral infection that presents with fever, rash and polyarthritis, is usually an acute febrile illness. Uncommon neurological manifestations include meningoencephalitis, encephalitis, myelitis, Guillain-Barre syndrome, myelopathy and neuropathy. During an outbreak of the disease in La Reunion Island, abnormalities were observed in the magnetic resonance imaging (MRI) of patients with encephalitis and acute disseminated encephalomyelitis, showing bilateral, frontoparietal, white matter lesions with restricted diffusion, similar to our case. We report a 57-year-old male patient with comorbidities, admitted with high fever, arthralgia, asthenia, vomiting, psychomotor agitation, behavioral changes and seizures. Cerebrospinal fluid (CSF) values revealed pleocytosis (98 cells/mm3 with 68% lymphocytes and 12% monocytes) and high levels of protein (161 mg%). Brain MRI showed hyperintense lesions in the temporal and frontal lobes and bilaterally in the posterior thalamus. CSF serology was positive for IgM antibodies to Chikungunya virus. Encephalitis due to an acute viral infection by Chikungunya was diagnosed. The patient’s clinical condition worsened and he died on the twenty-fourth day of admission to our hospital.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2020-07-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rimtsp/article/view/17241510.1590/s1678-9946202062040Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e40Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e40Revista do Instituto de Medicina Tropical de São Paulo; v. 62 (2020); e401678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/172415/162015https://www.revistas.usp.br/rimtsp/article/view/172415/162016Copyright (c) 2020 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessLima, Elaine Cristina Bomfim deJanuário, Alexandre Medeiros SampaioFortuna, Eliane GuimarãesReal, Maria Eulália CorteLacerda, Heloísa Ramos2020-10-26T17:39:25Zoai:revistas.usp.br:article/172415Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:52.850122Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
title |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
spellingShingle |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil Lima, Elaine Cristina Bomfim de Chikungunya encephalitis Neurological manifestations Magnetic resonance imaging Fatal cases |
title_short |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
title_full |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
title_fullStr |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
title_full_unstemmed |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
title_sort |
Chikungunya encephalitis: report of a fatal case in Northeastern Brazil |
author |
Lima, Elaine Cristina Bomfim de |
author_facet |
Lima, Elaine Cristina Bomfim de Januário, Alexandre Medeiros Sampaio Fortuna, Eliane Guimarães Real, Maria Eulália Corte Lacerda, Heloísa Ramos |
author_role |
author |
author2 |
Januário, Alexandre Medeiros Sampaio Fortuna, Eliane Guimarães Real, Maria Eulália Corte Lacerda, Heloísa Ramos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lima, Elaine Cristina Bomfim de Januário, Alexandre Medeiros Sampaio Fortuna, Eliane Guimarães Real, Maria Eulália Corte Lacerda, Heloísa Ramos |
dc.subject.por.fl_str_mv |
Chikungunya encephalitis Neurological manifestations Magnetic resonance imaging Fatal cases |
topic |
Chikungunya encephalitis Neurological manifestations Magnetic resonance imaging Fatal cases |
description |
Chikungunya, a viral infection that presents with fever, rash and polyarthritis, is usually an acute febrile illness. Uncommon neurological manifestations include meningoencephalitis, encephalitis, myelitis, Guillain-Barre syndrome, myelopathy and neuropathy. During an outbreak of the disease in La Reunion Island, abnormalities were observed in the magnetic resonance imaging (MRI) of patients with encephalitis and acute disseminated encephalomyelitis, showing bilateral, frontoparietal, white matter lesions with restricted diffusion, similar to our case. We report a 57-year-old male patient with comorbidities, admitted with high fever, arthralgia, asthenia, vomiting, psychomotor agitation, behavioral changes and seizures. Cerebrospinal fluid (CSF) values revealed pleocytosis (98 cells/mm3 with 68% lymphocytes and 12% monocytes) and high levels of protein (161 mg%). Brain MRI showed hyperintense lesions in the temporal and frontal lobes and bilaterally in the posterior thalamus. CSF serology was positive for IgM antibodies to Chikungunya virus. Encephalitis due to an acute viral infection by Chikungunya was diagnosed. The patient’s clinical condition worsened and he died on the twenty-fourth day of admission to our hospital. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/172415 10.1590/s1678-9946202062040 |
url |
https://www.revistas.usp.br/rimtsp/article/view/172415 |
identifier_str_mv |
10.1590/s1678-9946202062040 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/172415/162015 https://www.revistas.usp.br/rimtsp/article/view/172415/162016 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e40 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e40 Revista do Instituto de Medicina Tropical de São Paulo; v. 62 (2020); e40 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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1798951652706746368 |