Case Report


Parkinsonian syndrome after chikungunya: A case study

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1 School of Medicine, University Iguaçu – UNIG, RJ, Brazil

2 Iguaçu University – UNIG, Hospital Geral de Nova Iguaçu, RJ, Brazil

Address correspondence to:

Antonio Catharino

Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói, RJ,

Brazil

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Article ID: 101293Z01AM2022

doi: 10.5348/101293Z01AM2022CR

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How to cite this article

Moreno AM, Nascimento JF, Armada L, Orsini M, Tavares MS, da Silva Catharino AM. Parkinsonian syndrome after chikungunya: A case study. Int J Case Rep Images 2022;13:101293Z01AM2022.

ABSTRACT


Introduction: Although fever and malaise are the most common symptoms, the chikungunya virus can cause long-term chronic complications. Among the serious conditions arising from the pathology, certain patients have been observed to have neurological symptomatology, including parkinsonian. The onset of Parkinson’s disease is marked by a progressive degeneration of the neurons that produce the neurotransmitter dopamine, which are related to the mastery over body movements.

Case Report: A 46-year-old woman with a previous history of chikungunya virus infection, sought neurological care complaining of a “problem at her arm.” Neurological examination revealed a rigid-akinetic component that has improved with the use of Levodopa.

Conclusion: It was observed with this case study that neurological manifestations of post-chikungunya virus are presented in the clinical case, including worsening of parkinsonian symptoms. The use of the Levodopa over a period of six months was effective in reducing the symptoms reported by the patient.

Keywords: Chikungunya, Levodopa, Parkinson’s disease, Parkinsonian syndrome

SUPPORTING INFORMATION


Author Contributions

Adalgiza Mafra Moreno - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Jacqueline Fernandes Nascimento - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Luciana Armada - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Marco Orsini - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Marília Salete Tavares - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Antonio Catharino - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Adalgiza Mafra Moreno. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.