Presentation
Because many definite or probable cases present normal head circumference values and their mothers do not report having a rash, screening criteria must be revised in order to detect all affected newborn babies. [ncbi.nlm.nih.gov]
As with treatment for dengue, nonsteroidal anti-inflammatory agents should be avoided if thrombocytopenia is present. [doi.org]
Entire Body System
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Lymphadenopathy
Human infection induces an influenza-like syndrome that is associated with retro-orbital pain, oedema, lymphadenopathy, or diarrhea. Diagnosis of Zika fever requires virus isolation and serology, which are time consuming or cross-reactive. [ncbi.nlm.nih.gov]
Lymphadenopathy (isolated or generalized) was present in both groups (in 38% of ZIKV-positive women and 27% of ZIKV-negative women, P 0.12). [doi.org]
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Lymphedema
Mutations in KIF11 cause autosomal-dominant microcephaly variably associated with congenital lymphedema and chorioretinopathy. Am J Hum Genet. 2012;90:356–62. [doi.org]
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Hunting
View Article PubMed Google Scholar Martin C-A, Ahmad I, Klingseisen A, Hussain MS, Bicknell LS, Leitch A, Nürnberg G, Toliat MR, Murray JE, Hunt D, Khan F, Ali Z, Tinschert S, Ding J, Keith C, Harley ME, Heyn P, Müller R, Hoffmann I, Daire VC, Dollfus [doi.org]
Respiratoric
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Respiratory Disorders
The prevalence of swallowing troubles and respiratory disorders was 45 and 33 %, respectively. Electrophysiological findings were in favour of the acute motor axonal neuropathy (AMAN) type. Twelve (29 %) patients were mechanically ventilated. [doi.org]
Gastrointestinal
Eyes
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Eye Irritation
Seven exposure calls were reported to the Florida Poison Information Center, four of which reported symptoms (vomiting, eye irritation, dizziness, vertigo, and edema). [doi.org]
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Strabismus
Lawrence, MD, American Association for Pediatric Ophthalmology and Strabismus; Ellen H. [cdc.gov]
Skin
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Exanthema
Common symptoms included exanthema (88%), fever (76%), and arthralgia (72%). Fifty-nine percent of patients were exposed in South America; 71% were diagnosed in Europe. [ncbi.nlm.nih.gov]
People with Zika virus disease usually have a mild fever, skin rash (exanthema) and conjunctivitis. These symptoms normally last for 2-7 days. There is no specific treatment or vaccine currently available. [web.archive.org]
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Insect Bite
bites Last updated Sat 20 Feb 2016 More on this story Ennis-Hill coach: Move Rio camp to Zika-free zone Britain's camp for the Rio Olympics should be moved to a Zika-free location outside Brazil, Jessica Ennis-Hill's coach has said. [itv.com]
Neurologic
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Guillain-Barré Syndrome
During the same period, an increase in Guillain-Barré syndrome was reported, suggesting a possible association between Zika virus and Guillain-Barré syndrome. [ncbi.nlm.nih.gov]
For additional information on GBS and vaccines see: Vaccine Safety Concerns- Guillain Barré Syndrome Guillain-Barré syndrome and Flu Vaccine: Questions and Answers [web.archive.org]
We describe the first case of Guillain-Barré syndrome (GBS) occurring immediately after a Zika virus infection, during the current Zika and type 1 and 3 dengue fever co-epidemics in French Polynesia. . [eurosurveillance.org]
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Clonus
A total of 31 of the 49 infants (63%) had grossly abnormal results on neurologic examinations; hypertonicity, clonus, hyperreflexia, abnormal movements, spasticity, contractures, and seizures were identified. [doi.org]
Workup
Microbiology
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Treponema Pallidum
Tests for dengue virus, chikungunya virus, Toxoplasma gondii, rubella virus, cytomegalovirus, herpes simplex virus, HIV, Treponema pallidum, and parvovirus B19 were all negative. [ncbi.nlm.nih.gov]
Treatment
Also, a major challenge is how and when such antiviral treatment would be applied, if available. [ncbi.nlm.nih.gov]
Treatment No specific antiviral treatment is available for Zika virus disease. Treatment of symptoms may include rest, fluids, antipyretics, and analgesics. [web.archive.org]
Prognosis
Because of severe brain disease and microcephaly, the fetus was given a poor prognosis for neonatal health. [doi.org]
Human fetal infection with parvovirus B19: maternal infection time in gestation, viral persistence and fetal prognosis. Pediatr Infect Dis J 2002;21:1133–6. CrossRef PubMed Rudolph KE, Lessler J, Moloney RM, Kmush B, Cummings DA. [web.archive.org]
Etiology
For infants with microcephaly or intracranial calcifications who have negative results on all Zika virus tests performed, health care providers should evaluate for other possible etiologies and treat as indicated. [cdc.gov]
Research into the etiology of new clusters of microcephaly and other neurological disorders should be intensified to determine whether there is a causative link to Zika virus and/or other factors or co-factors. [who.int]
The MoH and Secretaries of Health from the affected states led a joint investigation to characterize and identify the etiology of the outbreak, with the support of national research institutes. [doi.org]
Epidemiology
Keywords Zika ZIKV Singapore Asia Epidemiology Outbreak Background By early October 2016, 73 countries had reported autochthonous transmission of Zika virus (ZIKV) since 2007 [ 1 ]. [doi.org]
Publication Zika virus transmission worldwide Publication Communicable disease threats report, 3-9 March 2019, week 10 News Health risks during the Carnival season in Brazil Publication Zika virus infection - Annual Epidemiological Report for 2016 Publication [ecdc.europa.eu]
However, data on the epidemiology and clinical findings of laboratory-confirmed Zika virus disease remain limited. [ncbi.nlm.nih.gov]
Pathophysiology
Drug trials in pregnancy raise several scientific, ethical, and logistic challenges, which are compounded further in ZIKV because of limited knowledge of the disease pathophysiology and a product development pipeline in its infancy. [ncbi.nlm.nih.gov]
[…] criteria for causality, 7 the authors show a consistent, specific, temporal relationship, which is analogous to relationships between ZIKV infection and the Guillain–Barré syndrome observed in other countries. 8,9 What is more difficult to demonstrate is pathophysiological [doi.org]
The pathophysiology of Zika-induced microcephaly is not known and was a subject of active research as of the end of 2016. [en.wikipedia.org]
Prevention
Brooks, [email protected], 404-639-3894. 1 Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC; 2 Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC [doi.org]
[…] to prevent mosquito bites. 4. [web.archive.org]
Persons residing in or traveling to areas of active Zika virus transmission should take steps to prevent Zika virus infection through prevention of mosquito bites (). [ncbi.nlm.nih.gov]
Prevention Mosquito bites Protection against mosquito bites during the day and early evening is a key measure to prevent Zika virus infection. [who.int]