Volume 93, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Chikungunya is a mosquito-borne viral disease that has recently become endemic in the Caribbean, including the island of Puerto Rico. We present the case of a 50-year-old Puerto Rican man who traveled to St. Louis for business and was diagnosed with acute chikungunya virus infection with atypical features causing diabetic ketoacidosis. This case highlights the need to keep tropical infectious diseases on the differential diagnosis in appropriate individuals and the ways in which tropical infectious diseases can masquerade as part of common presentations.


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  • Received : 27 Dec 2014
  • Accepted : 13 Apr 2015
  • Published online : 05 Aug 2015

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