An unexpected human outbreak of the mosquitoborne Sindbis virus occurred in a previously nonendemic area of Sweden. At follow-up, 6-8 months after infection, 39% of patients had chronic arthralgia that affected their daily activities. Vectorborne infections may disseminate rapidly into new areas and cause acute and chronic disease.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004841PMC
http://dx.doi.org/10.3201/eid2406.170892DOI Listing

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