468 バイト追加
、 2021年4月26日 (月) 17:12
==epidemiology==
*outreaks
**2004-06 Indian Ocean countries
**2014-16 Caribbean region and USA
*1.3 bil. people living in endemic area
==virology==
*mutation A226V enhanced replication ability in ''Ae. albopictus''
==clinical==
*incubation 3-7 days
*polyarthralgia 2-5 days after onset
*severe complication >65 y/o
**meningoencephalitis, hepatitis, renal failure, myocarditis
*persistent symptoms
**polyarthralgia, polyarthritis, tenosynovitis, Ranaud's phenomena