Dengue, Zika and Chikungunya: Emerging Arboviruses in the New World.
The arboviruses that cause dengue, chikungunya, and Zika illnesses have rapidly expanded across the globe in recent years, with large-scale outbreaks occurring in Western Hemisphere territories in close proximity to the United States (U.S.). In March 2016, the Centers for Disease Control and Protection (CDC) expanded its vector surveillance maps forA. aegyptiandA. albopictus, the mosquito vectors for these arboviruses. They have now been shown to inhabit a larger portion of the U.S., including the heavily populated northeast corridor. Emergency physicians need to further familiarize themselves with these diseases, which have classically been considered only in returning travelers but may soon be encountered in the U.S. even in the absence of travel. In this paper, we discuss the presentation and treatment of dengue, Zika, and chikungunya, as well as special challenges presented to the emergency physician in evaluating a patient with a suspected arbovirus infection.
Temple University Hospital and School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Jessica
J
Patterson
Temple University Hospital and School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Maura
M
Sammon
Temple University Hospital and School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Manish
M
Garg
D000330:Aedes / Q000821:virology; D000818:Animals; D001103:Arboviruses; D002487:Centers for Disease Control and Prevention, U.S.; D065632:Chikungunya Fever / Q000175:diagnosis / Q000628:therapy*; D002646:Chikungunya virus / Q000276:immunology / Q000302:isolation & purification; D003715:Dengue / Q000175:diagnosis / Q000628:therapy*; D053059:Dengue Vaccines / Q000627:therapeutic use; D003716:Dengue Virus / Q000276:immunology / Q000302:isolation & purification; D004196:Disease Outbreaks / Q000517:prevention & control; D004636:Emergency Service, Hospital; D014943:Global Health; D006801:Humans; D010820:Physicians; D014195:Travel; D014481:United States; D000071244:Zika Virus / Q000276:immunology / Q000302:isolation & purification; D000071243:Zika Virus Infection / Q000175:diagnosis / Q000628:therapy*
D053059:Dengue Vaccines