Mayaro fever in an HIV-infected patient suspected of having Chikungunya fever.
Arboviruses impose a serious threat to public health services. We report a case of a patient returning from a work trip to the Amazon basin with myalgia, arthralgia, fever, and headache. During this travel, the patient visited riverside communities. Both dengue and Chikungunya fevers were first suspected, tested for, and excluded. Mayaro fever was then confirmed by reverse transcription polymerase chain reaction followed by next-generation sequencing and phylogenetic reconstruction. The increased awareness of physicians and consequent detection of Mayaro virus in this case was only possible due a previous surveillance program with specific health personnel training about these neglected arboviruses.
Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
Cássia Fernanda
CF
Estofolete
Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
Mânlio Tasso Oliveira
MT
Mota
Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
Danila
D
Vedovello
Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
Delzi Vinha Nunes de
DV
Góngora
Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
Irineu Luiz
IL
Maia
Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
Maurício Lacerda
ML
Nogueira
D000328:Adult; D000524:Alphavirus / Q000145:classification / Q000235:genetics*; D018354:Alphavirus Infections / Q000175:diagnosis* / Q000821:virology; D065632:Chikungunya Fever / Q000175:diagnosis; D003937:Diagnosis, Differential; D015658:HIV Infections; D006801:Humans; D008297:Male; D010802:Phylogeny; D020133:Reverse Transcriptase Polymerase Chain Reaction