Arboviroses urbanas e o Exército Brasileiro: a visão do reumatologista

2019 
A recente explosao de casos de dengue, a velocidade na dispersao do virus zika, o aumento nos casos agudos e cronicos de chikungunya incluindo artralgia debilitante, o incremento nas notificacoes de microcefalia e da Sindrome de Guillan-Barre, chamam a atencao devido a sua morbidade e mortalidade. Alem disso, ha dificuldade para o diagnostico diferencial entre essas doencas devido a semelhanca na sintomatologia. O presente artigo tem por objetivo contribuir na disseminacao do conhecimento das arboviroses urbanas apresentando suas principais caracteristicas. Com a visao do reumatologista, dar maior enfoque a artropatia associada e explicitar a importância do controle do vetor Aedes aegypti, cujo combate envolve o uso do Exercito Brasileiro. Para isso, foi feita revisao da literatura nas bases Medline, SciELO, PubMed, informacoes publicadas em paginas eletronicas oficiais do Ministerio da Defesa, Exercito Brasileiro, Fiocruz e portais eletronicos de noticias, que dao apoio a discussao. The recent explosion of dengue cases, the speed at which the virus spreads, the increase in acute and chronic cases of chikungunya including debilitating arthralgia, the increase in microcephaly and Guillan-Barre Syndrome reports, call attention to its morbidity and mortality. In addition, it is difficult to make a differential diagnosis between these diseases due to the lack of symptoms. The aim of this article is to contribute to the dissemination of the knowledge of arboviral diseases by presenting their main characteristics. With the rheumatologist's vision, placing the focus to the associated arthropathy, I aim at stating the importance of the control of the vetor Aedes aegypti, when fighting involves the use of the Brazilian Army. For this purpose, the literature was reviewed in the Medline, SciELO, PubMed databases, information published in official web pages of the Ministry of Defense, the Brazilian Army, Fiocruz and electronic news portals, which supported the discussion.
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