Rationale:Parsonage-Turner syndrome is a rare syndrome of unknown etiology,affecting mainly the lower motor neurons of the brachial plexus.Chikungunya fever is a mosquito-borne viral disease characterized by acute fev...Rationale:Parsonage-Turner syndrome is a rare syndrome of unknown etiology,affecting mainly the lower motor neurons of the brachial plexus.Chikungunya fever is a mosquito-borne viral disease characterized by acute fever and polyarthritis/polyarthralgia.Patient concerns:A 54-year-old Brazilian male patient who presented with a 2-day history of fever(temperature 38.8℃),arthralgia,erythematous rash,diffuse osteomuscular pain and headache,which evolved into left shoulder pain associated with morning stiffness.Diagnosis:Parsonage-Turner syndrome and chikungunya fever.Interventions:Symptomatic treatment(a combination of short-acting dypirone(500 mg every 6 h)and slow-release opioids(tramadol 100 mg every 4 h)and physiotherapy/rehabilitation with improvement.Outcomes:The patient was improved and discharged,remaining with symptomatic treatment and physiotherapy/rehabilitation.Lessons:To the best of our knowledge,there were no reports of Parsonage-Turner syndrome following chikungunya virus infection.Awareness of the possibility of this rare association is important.The present case report highlights the importance of awareness of this association as a new cause of morbidity in patients with chikungunya virus infection.展开更多
文摘Rationale:Parsonage-Turner syndrome is a rare syndrome of unknown etiology,affecting mainly the lower motor neurons of the brachial plexus.Chikungunya fever is a mosquito-borne viral disease characterized by acute fever and polyarthritis/polyarthralgia.Patient concerns:A 54-year-old Brazilian male patient who presented with a 2-day history of fever(temperature 38.8℃),arthralgia,erythematous rash,diffuse osteomuscular pain and headache,which evolved into left shoulder pain associated with morning stiffness.Diagnosis:Parsonage-Turner syndrome and chikungunya fever.Interventions:Symptomatic treatment(a combination of short-acting dypirone(500 mg every 6 h)and slow-release opioids(tramadol 100 mg every 4 h)and physiotherapy/rehabilitation with improvement.Outcomes:The patient was improved and discharged,remaining with symptomatic treatment and physiotherapy/rehabilitation.Lessons:To the best of our knowledge,there were no reports of Parsonage-Turner syndrome following chikungunya virus infection.Awareness of the possibility of this rare association is important.The present case report highlights the importance of awareness of this association as a new cause of morbidity in patients with chikungunya virus infection.
