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Therrien C, Jourdan G, Holloway K, et al. First Imported Case of Chikungunya Virus Infection in a Travelling Canadian Returning from the Caribbean. Can J Infect Dis Med Microbiol. 2016;2016:2980297doi: 10.1155/2016/2980297.
Therrien, C., Jourdan, G., Holloway, K., Tremblay, C., & Drebot, M. A. (2016). First Imported Case of Chikungunya Virus Infection in a Travelling Canadian Returning from the Caribbean. The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale, 20162980297. https://doi.org/10.1155/2016/2980297
Therrien, Christian, et al. "First Imported Case of Chikungunya Virus Infection in a Travelling Canadian Returning from the Caribbean." The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale vol. 2016 (2016): 2980297. doi: https://doi.org/10.1155/2016/2980297
Therrien C, Jourdan G, Holloway K, Tremblay C, Drebot MA. First Imported Case of Chikungunya Virus Infection in a Travelling Canadian Returning from the Caribbean. Can J Infect Dis Med Microbiol. 2016;2016:2980297. doi: 10.1155/2016/2980297. Epub 2016 Feb 24. PMID: 27366163; PMCID: PMC4904578.
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Can J Infect Dis Med Microbiol. 2016;2016:2980297. doi: 10.1155/2016/2980297. Epub 2016 Feb 24.

First Imported Case of Chikungunya Virus Infection in a Travelling Canadian Returning from the Caribbean.

The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale

Christian Therrien, Guillaume Jourdan, Kimberly Holloway, Cécile Tremblay, Michael A Drebot

Affiliations

  1. Laboratoire de Santé Publique du Québec, Institut National de Santé Publique du Québec, 20045 chemin Sainte-Marie, Sainte-Anne-de-Bellevue, QC, Canada H9X 3R5.
  2. Hôpital de Chicoutimi, Centre de Santé et de Services Sociaux de Chicoutimi, Chicoutimi, QC, Canada.
  3. National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada.

PMID: 27366163 PMCID: PMC4904578 DOI: 10.1155/2016/2980297

Abstract

This is the first Canadian case of Chikungunya virus (CHIKV) infection reported in a traveller returning from the Caribbean. Following multiple mosquito bites in Martinique Island in January 2014, the patient presented with high fever, headaches, arthralgia on both hands and feet, and a rash on the trunk upon his return to Canada. Initial serological testing for dengue virus infection was negative. Support therapy with nonsteroidal anti-inflammatory drugs was administered. The symptoms gradually improved 4 weeks after onset with residual arthralgia and morning joint stiffness. This clinical feature prompted the clinician to request CHIKV virus serology which was found to be positive for the presence of IgM and neutralizing antibodies. In 2014, over four hundred confirmed CHIKV infection cases were diagnosed in Canadian travellers returning from the Caribbean and Central America. Clinical suspicion of CHIKV or dengue virus infections should be considered in febrile patients with arthralgia returning from the recently CHIKV endemic countries of the Americas.

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