Acute infectious viral disease (chikungunya virus): clinical case

Abstract

The article presents a case of primary infection with the rare chikungunya virus (CHIKV) in the form of somatogenic delirium in the setting of acute reactive pancreatitis and nephrotoxic syndrome.Somato-genic delirium is a fairly common condition that is not often diagnosed by general practitioners and prompts referrals to psychiatrists, where patients are subsequently treated exclusively within the psychiatric nosology register, which can limit the range of diagnostic search and mask the dynamics of symptoms during antipsychotic therapy. It is these patients who require detailed attention at the stage of the admission department, since only the search for the true factor of the disorder of consciousness can lead to the timely provision of appropriate care and prevention of disabling consequences. The relevance of the problem lies in the step-by-step analysis of a clinical case with a detailed explanation of the logic of decision-making at each stage. The unusual clinical picture has led to the emergence of a variety of possibilities for the primary clinical diagnosis: from primary psychiatric pathology to acute cerebrovascular accident. Accordingly, the treatment algorithm should change, which should initially be nonspecific detoxification. The article discusses the sequential process of establishing a diagnosis and differential diagnosis of this disease with other pathological conditions in order to enrich the experience of doctors with possible rare variants of diseases introduced by the possible use of epidemiological warfare tools on the territory of Ukraine.The article will be useful for a wide range of doctors of different profiles, including general practitioners, therapists and neurologists.