RESUMO
Paraguay is currently facing a new outbreak of Chikungunya virus. This report summarizes two severe cases of Chikungunya (CHIKV) infection, confirmed by real-time reverse transcription polymerase chain reaction. We present the cases of patients with acute CHIKV infection and multisystem involvement, with fever, rash, abdominal pain, vomiting, myocarditis, and coronary artery anomalies, very similar to the cases described in MIS-C related to SARS-CoV-2 during the COVID-19 Pandemic. Both patients received IVIG and methylprednisolone, with good clinical response. In this setting of cytokine storm in Chikungunya, can we call it "Multisystem inflammatory syndrome associated with Chikungunya"?.
Assuntos
Febre de Chikungunya , Síndrome da Liberação de Citocina , Síndrome de Resposta Inflamatória Sistêmica , Humanos , Febre de Chikungunya/complicações , Febre de Chikungunya/diagnóstico , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico , Masculino , Síndrome da Liberação de Citocina/etiologia , Feminino , Adulto , Pessoa de Meia-IdadeRESUMO
Existen dos puntos de vista: Uno que según las normas se demuestra que existen falencias que impiden la calidad de atención en los servicios evaluados y otro que el usuario está satisfecho con la atención aunque no se cumplen con algunos requisitos para la calidad
