<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662018000300018</article-id>
<article-id pub-id-type="doi">10.24245/mim.v34i3.2173</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad de chikunguña]]></article-title>
<article-title xml:lang="en"><![CDATA[Chikungunya disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Córdova-Pluma]]></surname>
<given-names><![CDATA[Víctor Huggo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-López]]></surname>
<given-names><![CDATA[César Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alarcón-Sotelo]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salinas-Lezama]]></surname>
<given-names><![CDATA[Erika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ciudad de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>3</numero>
<fpage>497</fpage>
<lpage>505</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662018000300018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662018000300018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662018000300018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Chikunguña es una enfermedad infecciosa ocasionada por un alfavirus trasmitido al ser humano por un mosquito del género Aedes especie aegypti y albopictus. El nombre tiene su origen en Tanzania y su significado es &#8220;hombre encorvado o retorcido&#8221;. En México, el primer caso de chikunguña fue el de una mujer de 39 años de edad quien viajó al Caribe y posteriormente, durante 2015, se confirmaron 11,577 casos. Su mortalidad se calcula en 0.4%; sin embargo, ésta aumenta en personas mayores con enfermedades concomitantes; la recuperación de la enfermedad varía según la edad y el diagnóstico se establece mediante la detección en la sangre de los anticuerpos producidos. No existe tratamiento ni vacuna preventiva y se recomienda descanso, ingesta de líquidos y de acetaminofén exclusivamente. Se comunica el caso de una paciente de 65 años de edad, originaria y residente en la ciudad de Tapachula, Chiapas. Acudió a consulta por padecer un cuadro clínico de cinco días de evolución, caracterizado por mialgias, artralgias, fiebre de 38°C, exantema, cefalea holocraneana, edema de miembros pélvicos y linfadenopatía en la región del cuello. Posterior a la realización de diversos estudios se documentó infección por virus de chikunguña como la causa del cuadro mencionado. La chikunguña es una enfermedad que está generando un problema muy grave en nuestro país, no sólo por la repercusión en la salud, sino por la gran pérdida económica que ésta conlleva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Chikungunya is an infectious disease caused by an alphavirus and transmitted to humans by a mosquito of the genus Aedes species aegypti and albopictus. The name is originated in Tanzania and means &#8220;hunched or twisted man&#8221;; in Mexico the first case of chikungunya appeared in a woman of 39 years of age who traveled to the Caribbean. During the year 2015 there were confirmed 11,577 cases. A mortality of 0.4% is calculated; however, it increases in elderly people with concomitant diseases; the recovery of the disease varies according to the age and the diagnosis is established by the detection in the blood of the antibodies produced. There is no treatment or preventive vaccine. Rest, fluid intake and acetaminophen are recommended. We present the case of a 65 year-old female patient, native to and resident in the city of Tapachula, Chiapas. She presented with a clinical picture of five days of evolution characterized by myalgias, arthralgia, fever of 38ºC, skin rash, holocraneal headache, edema of pelvic limbs and lymphadenopathy in the neck region. Chikungunya virus infection was documented after the work up of several studies as the cause of the mentioned symptoms. Chikungunya is a disease that is generating a very serious problem in our country, not only because of its impact on health, but also because of the great economic loss it entails.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Chikunguña]]></kwd>
<kwd lng="es"><![CDATA[Aedes]]></kwd>
<kwd lng="es"><![CDATA[ensayo inmunoabsorbente ligado a enzimas]]></kwd>
<kwd lng="es"><![CDATA[acetaminofén]]></kwd>
<kwd lng="en"><![CDATA[Chikungunya]]></kwd>
<kwd lng="en"><![CDATA[Aedes]]></kwd>
<kwd lng="en"><![CDATA[Enzyme-Linked Immunosorbent Assay]]></kwd>
<kwd lng="en"><![CDATA[Acetaminophen]]></kwd>
</kwd-group>
</article-meta>
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