Parsonage-Turner syndrome following chikungunya virus infection: A case report
Luis Arthur Brasil Gadelha Farias1, Marina Vasconcelos Sampaio2, Antônio Carlos Delgado Sampaio3, Roberto da Justa Pires Neto4, Jorge Luiz Nobre Rodrigues5
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
Luis Arthur Brasil Gadelha Farias
Juazeiro do Norte St, number 333, Ed. Rui Castelo Branco, apto° 102, Meireles, CEP: 60165-110. Fortaleza, Ceará
Source of Support: None, Conflict of Interest: None
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.