title: A case of chikungunya virus disease presenting with remarkable acute arthritis of a previously damaged finger joint.
abstract: Chikungunya virus (CHIKV) is a mosquito-borne arthritogenic alphavirus that has recently been introduced to Brazil. We report the case of a 36-year-old male patient from the City of Rio de Janeiro who developed molecularly-confirmed CHIKV disease and whose clinical picture was remarkable because of acute arthritis of an interphalangeal joint that had been damaged by trauma 8 years previously. This case illustrates that acute CHIKV disease may preferentially target previously damaged joints. Careful study of individual cases may provide valuable information on the presentation and management of this emerging zoonosis in Brazil.
authors.affiliation: Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Walter de Araujo
authors.initials: WA
authors.lastname: Eyer-Silva
authors.affiliation: Serviço de Cirurgia da Mão, Hospital da Lagoa, Rio de Janeiro, Brazil.
authors.forename: Henrique de Barros
authors.initials: HB
authors.lastname: Pinto
authors.affiliation: Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Guilherme Almeida Rosa da
authors.initials: GA
authors.lastname: Silva
authors.affiliation: Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Fernando Raphael de Almeida
authors.initials: FR
authors.lastname: Ferry
mesh_terms: D000208:Acute Disease; D000328:Adult; D001168:Arthritis / Q000175:diagnosis* / Q000821:virology; D065632:Chikungunya Fever / Q000150:complications / Q000175:diagnosis*; D005383:Finger Injuries / Q000821:virology*; D005384:Finger Joint / Q000821:virology*; D006801:Humans; D008297:Male; D013997:Time Factors