Novel Chikungunya Virus Variant in Travelers Returning from Indian Ocean Islands
Philippe Parola*†1, Xavier de Lamballerie‡§1, Jacques Jourdan¶, Clarisse Rovery*, Véronique Vaillant#, Philippe Minodier*, Philippe Brouqui*†, Antoine Flahault**, Didier Raoult†‡ , and Rémi Charrel‡§
Author affiliations: *Hôpital Nord, Marseilles, France; †Unité des Rickettsies, Marseilles, France; ‡Fédération de Microbiologie Clinique Hôpital de la Timone, Marseilles, France; §Unité des Virus Emergents, Faculté de Médecine, Marseilles, France; ¶Centre Hospitalier Universitaire, Nîmes, France; #Institut de Veille Sanitaire, Saint-Maurice, France; **Université Pierre et Marie Curie, Paris, France
Figure 2. Clinical findings in patients. A) Bone scintigraphy of the wrists and hands showing an intense focus of technetium-99m–labeled methylene diphosphonate tracer uptake, particularly on the left side in the left metacarpophalangeal, wrist, and the first distal interphalangeal joints in a 73-year-old man who returned from Reunion with a severe viremic chikungunya virus (CHIKV) infection. B) Conjunctivitis in a 31-year-old woman who returned from Mayotte, French Comoros, with a severe viremic CHIKV infection.
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