A previously healthy 32-year-old man, who is a military veteran, comes to the emergency department because of high-grade fever and malaise for 3 days. He has severe generalized joint and body pains refractory to acetaminophen. He also has a severe stabbing pain behind his eyes. One week ago, he returned from deployment for a peace-keeping mission in Taiwan. He is sexually active and uses condoms inconsistently. His temperature is 38.7°C (101.7°F), pulse is 102/min, and blood pressure is 100/70 mm Hg. Examination shows nontender inguinal lymphadenopathy. There is a maculopapular rash over the trunk and extremities. Abdominal examination shows no abnormalities. Laboratory study results show thrombocytopenia. Urinalysis is normal. An ELISA test for HIV is negative. Transmission of the pathogen causing this patient's current symptoms can cause which of the following diseases?

Question

A previously healthy 32-year-old man, who is a military veteran, comes to the emergency department because of high-grade fever and malaise for 3 days. He has severe generalized joint and body pains refractory to acetaminophen. He also has a severe stabbing pain behind his eyes. One week ago, he returned from deployment for a peace-keeping mission in Taiwan. He is sexually active and uses condoms inconsistently. His temperature is 38.7°C (101.7°F), pulse is 102/min, and blood pressure is 100/70 mm Hg. Examination shows nontender inguinal lymphadenopathy. There is a maculopapular rash over the trunk and extremities. Abdominal examination shows no abnormalities. Laboratory study results show thrombocytopenia.  Urinalysis is normal. An ELISA test for HIV is negative. Transmission of the pathogen causing this patient's current symptoms can cause which of the following diseases?

Quizplus · Accepted Answer

Eductional Objective: The Aedes aegypti mosquitoes can transmit the viruses that cause dengue fever and chikungunya.  Classic dengue fever presents as an acute febrile illness with headache, retro-orbital pain, and joint and muscle pain.  Chikungunya is a febrile illness with flulike symptoms, prominent polyarthralgias, and diffuse macular rash.

A Previously Healthy 32-Year-Old Man, Who Is a Military Veteran