Sequential Chikungunya and Zika Virus Infections in a Traveler from Honduras

Francesca F. Norman Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Sandra Chamorro Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Ana Vázquez National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain.

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María-Paz Sánchez-Seco National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain.

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José-Antonio Pérez-Molina Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Begoña Monge-Maillo Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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María-Jesús Vivancos Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Mario Rodríguez-Dominguez Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Juan-Carlos Galán Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Fernando de Ory National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain.

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Rogelio López-Vélez Ramón y Cajal Hospital, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.

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Zika virus (ZIKV) and chikungunya virus (CHIKV) are currently circulating in overlapping areas in the American continents and may both be transmitted by Aedes spp. mosquitoes. The first documented case, to the authors' knowledge, of sequential CHIKV and ZIKV infections diagnosed in a nonendemic area in a returning traveler is reported. The implications for heightened clinical surveillance for these infections and specific patient recommendations are emphasized.

Author Notes

* Address correspondence to Francesca F. Norman, National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal Hospital, Ctra de Colmenar Km 9.1, Madrid 28034, Spain. E-mail: ffnorman@gmail.com

Financial support: This work was supported by the Spanish Ministry of Science and Innovation and the Instituto de Salud Carlos III within the Network of Tropical Diseases Research RICET [RD06/0021/0020].

Authors' addresses: Francesca F. Norman, Sandra Chamorro, and María-Jesús Vivancos, Tropical Medicine, Infectious Diseases Department, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain, E-mails: ffnorman@gmail.com, sandracht@gmail.com, and mjesus.vivancos@gmail.com. Ana Vázquez and Fernando de Ory, National Microbiology Centre, CiberEsp, Instituto de Salud Carlos III, Madrid, Spain, E-mails: a.vazquez@isciii.es and fory@isciii.es. María Paz Sánchez-Seco, Alert and Emergency Unit, Instituto de Salud Carlos III, Madrid, Spain, E-mail: paz.sanchez@isciii.es. José-Antonio Pérez-Molina, Begoña Monge-Maillo, and Rogelio López-Vélez, Tropical Medicine, Infectious Diseases Department, Hospital Ramón y Cajal, Instituto Ramón y Cajalde Investigación Sanitaria (IRYCIS), Madrid, Spain, E-mails: jose.perezmolina@gmail.com, begomongem@gmail.com, and rogelio.lopezvelez@salud.madrid.org. Mario Rodríguez-Dominguez and Juan-Carlos Galán, Microbiology Department, Hospital Universitario Ramon y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain, E-mails: mariojose.rodriguez@salud.madrid.org and juancarlos.galan@salud.madrid.org.

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