Sequential Chikungunya and Zika Virus Infections in a Traveler from Honduras.
Zika virus (ZIKV) and chikungunya virus (CHIKV) are currently circulating in overlapping areas in the American continents and may both be transmitted by Aedes spp. mosquitoes. The first documented case, to the authors' knowledge, of sequential CHIKV and ZIKV infections diagnosed in a nonendemic area in a returning traveler is reported. The implications for heightened clinical surveillance for these infections and specific patient recommendations are emphasized.
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain. ffnorman@gmail.com.
Francesca F
FF
Norman
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Sandra
S
Chamorro
National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain.
Ana
A
Vázquez
National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain.
María-Paz
MP
Sánchez-Seco
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
José-Antonio
JA
Pérez-Molina
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Begoña
B
Monge-Maillo
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
María-Jesús
MJ
Vivancos
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Mario
M
Rodríguez-Dominguez
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Juan-Carlos
JC
Galán
National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain.
Fernando
F
de Ory
Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
Rogelio
R
López-Vélez
D000328:Adult; D001219:Aspartate Aminotransferases / Q000097:blood; D002097:C-Reactive Protein / Q000378:metabolism; D065632:Chikungunya Fever / Q000150:complications / Q000175:diagnosis* / Q000821:virology; D002646:Chikungunya virus; D005260:Female; D006721:Honduras; D006801:Humans; D000071244:Zika Virus; D000071243:Zika Virus Infection / Q000150:complications / Q000175:diagnosis*
D002097:C-Reactive Protein; D001219:Aspartate Aminotransferases