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CASE REPORT
Year : 2019  |  Volume : 12  |  Issue : 5  |  Page : 239-242

Parsonage-Turner syndrome following chikungunya virus infection: A case report


1 School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil
2 School of Medicine, Universitary Center Christus (Unichristus), Fortaleza, Ceará, Brazil
3 Orthopedic Department, São Carlos Hospital, Fortaleza, Ceará, Brazil
4 School of Medicine, Federal University of Ceará; Hospital São José de Doenças Infecciosas, Fortaleza, Ceará, Brazil
5 School of Medicine, Federal University of Ceará; Infectology Service, Walter Cantídeo University Hospital, Fortaleza, Ceará, Brazil

Correspondence Address:
Luis Arthur Brasil Gadelha Farias
Juazeiro do Norte St, number 333, Ed. Rui Castelo Branco, apto° 102, Meireles, CEP: 60165-110. Fortaleza, Ceará
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-7645.259245

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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 °C), 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.


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