Otalgia como forma de presentación atípica de Chikungunya: Serie de casos

Carlos Enrique Mena Canata; Raúl Tornaco; Paola Garcete; Rodrigo David González Insfrán

doi:10.18004/anales/2024.057.02.67

Authors

Carlos Enrique Mena Canata Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Cátedra y Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. San Lorenzo, Paraguay https://orcid.org/0000-0003-4429-4840
Raúl Tornaco Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Cátedra y Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. San Lorenzo, Paraguay https://orcid.org/0000-0003-2291-8106
Paola Garcete Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Cátedra y Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. San Lorenzo, Paraguay https://orcid.org/0009-0006-4576-871X
Rodrigo David González Insfrán Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Cátedra y Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. San Lorenzo, Paraguay https://orcid.org/0000-0002-7985-4214

DOI:

https://doi.org/10.18004/anales/2024.057.02.67

Keywords:

Reflex otalgia, chikungunya, intraparotid lymph nodes

Abstract

Introduction: Otalgia is not reported as a frequent manifestation of Chikungunya in the literature. Cases of otalgia in the context of Chikungunya are reported and their management is exposed. Clinical cases: Two cases of women aged 26 and 32 years who presented with fever, rash, arthralgias and unilateral otalgia with preauricular tumor are presented. Both had positive anti-Chikungunya IgM antibodies and intraparotid lymphadenopathy on ultrasound. They were treated with NSAIDs and corticosteroids with good response. Discussion: Cervical adenitis due to Chikungunya is reported with variable frequency, but not as a dominant symptom. Unilateral otalgia allows to rule out otitis. Its management is conservative with good results. Conclusion: A series of cases of unilateral reflex otalgia due to intraparotid adenitis in Chikungunya was presented, highlighting its differential diagnosis and management.