{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T07:28:22Z","timestamp":1746775702018},"reference-count":15,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,8,5]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4269\/ajtmh.14-0840","type":"journal-article","created":{"date-parts":[[2015,6,2]],"date-time":"2015-06-02T13:47:01Z","timestamp":1433252821000},"page":"401-403","source":"Crossref","is-referenced-by-count":3,"title":["A Case of Diabetic Ketoacidosis Following Chikungunya Virus Infection"],"prefix":"10.4269","volume":"93","author":[{"given":"Illya","family":"Tolokh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Laux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"J Clin Virol","first-page":"144","article-title":"Chikungunya, a paradigm of neglected tropical disease that emerged to be a new health global risk","volume":"64","author":"Rougeron","year":"2014"},{"key":"ref2","series-title":"Lancet","first-page":"2046","article-title":"Safety and tolerability of chikungunya virus-like particle vaccine in healthy adults: a phase 1 dose-escalation trial","volume":"384","author":"Chang","year":"2014"},{"key":"ref3","series-title":"Clin Infect 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