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meningitis
More like Zika Virus (Same a. aegypti vector) since it says she has rash associated to her bone and muscle pain. I had Zika one time (i live in Puerto Rico).
Remember also dengue and Zika are Flavivirus. Dengue can cause hemolysis (hemorrhagic), and Zika is associated with Guillen Barre and fetal abnormalities.
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nala_ula
I'm shocked that I found a fellow puerto rican on this site! Good luck on your test!
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namira
dont be shocked! me too! exito!
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dr_jan_itor
I was thinking that its Murine typhus transmitted by fleas
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monique
I would say this is more likely scenario of either Dengue or Chikungunya, not Zika virus. Excruciating pain is common in those, not in Zika. Zika has milder symptoms of those three infection.
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jakeperalta
Can confirm that Chikungunya's arthralgia is pretty horrible, from personal experience.
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almondbreeze
UW: co-infection with chikungunya virus with dengue virus can occure bc Aedes mosquito is a vector of both Chiungunya, dengue, and zika
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lovebug
FA2019, page 167 RNA virusesy.
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lovebug
Found that Chikungunya also have Rash./// An erythematous macular or maculopapular rash usually appears in the first 2โ3 days of the illness and subsides within 7โ10 days. It can be patchy or diffuse on the face, trunk and limbs. It is typically asymptomatic but may be pruritic (Taubitz W, Cramer JP, Kapaun A, et al. Chikungunya fever in travelers: clinical presentation and course. Clin Infect Dis. 2007; 45: e1. )
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beto
it is chikungunya->fever, polyarthralgia, diffuse macular rash, dengue has retro-orbital pain mostly
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thomasalterman
Dengue is an arbovirus. The important hints are that she was traveling in endemic (tropical) and that she has **excruciating pain in the joints and muscles**. This is why dengue is aka "break-bone fever"
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macroorchidism
Yeah I messed up the question too, but after digging, the exact virus isn't important (Zika, Dengue, or Chikungyuna) since they all have arthralgia AND are Arthropod borne viruses.
Another interesting fact I learned from Q banks that wasn't in FA was that Chikungyuna means "stopped walk" and happens because of severe polyarthralgia and is also associated with a rash
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uslme123
I did too ... but It looks like the timing fits better for denge.
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submitted by โtissue creep(133)
Arthropod for sure, but for the record I'm pretty sure this was Chikungunya Virus. Only got this from a UWorld question as I hadn't seen it until then, but apparently the arthralgia is really bad, which is what drew me to the answer.
https://www.cdc.gov/chikungunya/index.html