title: Persisting arthralgia due to Mayaro virus infection in a traveler from Brazil: is there a risk for attendants to the 2014 FIFA World Cup?
abstract: The 2014 FIFA World Cup and the 2016 Olympic Games will attract large groups of visitors to Brazil. These visitors will be at risk for different arboviral infections, some of which not well known outside endemic areas. We report a case of a 52-year-old Dutch woman who presented with persistent arthralgia due to a Mayaro virus (MAYV) infection which she contracted in the Amazon basin in Brazil. MAYV is a mosquito-borne alphavirus which primarily circulates in humid tropical forests of South America. Infections are rarely reported in travelers and are characterized by an acute febrile illness which is often followed by a prolonged and sometimes incapacitating polyarthralgia. Both travelers and physicians should be aware of the risk of these arboviral infections and the importance of mosquito bite prevention should be stressed.
authors.affiliation: Radboud University Medical Center, Department of Internal Medicine, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Electronic address: claire.slegers@radboudumc.nl.
authors.forename: C A D
authors.initials: CA
authors.lastname: Slegers
authors.affiliation: Radboud University Medical Center, Department of Internal Medicine, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Keuter
authors.affiliation: Bernard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, National Reference Centre for Tropical Infectious Diseases, Bernhard-Nocht Strasse 74, 20359 Hamburg, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Günther
authors.affiliation: Bernard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, National Reference Centre for Tropical Infectious Diseases, Bernhard-Nocht Strasse 74, 20359 Hamburg, Germany; German Centre for Infection Research (DZIF), Partner Site Hamburg-Luebeck-Borstel, Hamburg, Inhoffenstraße 7, 38124 Braunschweig, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Schmidt-Chanasit
authors.affiliation: Radboud University Medical Center, Department of Internal Medicine, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
authors.forename: A J
authors.initials: AJ
authors.lastname: van der Ven
authors.affiliation: Radboud University Medical Center, Department of Internal Medicine, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
authors.forename: Q
authors.initials: Q
authors.lastname: de Mast
mesh_terms: D000524:Alphavirus / Q000145:classification / Q000235:genetics; D018354:Alphavirus Infections / Q000150:complications* / Q000175:diagnosis; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D018771:Arthralgia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D001938:Brazil; D005260:Female; D006801:Humans; D008875:Middle Aged; D058889:Molecular Typing; D012703:Serotyping; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: 2014 FIFA World Cup; Alphavirus; Arthralgia; Brazil; Mayaro virus; Traveler