Zika virus infection in a traveller returning to Europe from Brazil, March 2015

L Zammarchi1, D Tappe, C Fortuna

  • 1Clinica Malattie Infettive, Dipartimento di Medicina Sperimentale e Clinica, Universita Degli Studi di Firenze, Florence, Italy.

Insights

A laboratory-confirmed Zika virus case was imported into Europe from the Americas. This highlights the co-circulation of Zika, chikungunya, and dengue viruses in Brazil, posing a health burden.

Area of Science:

  • Tropical medicine
  • Infectious diseases
  • Virology

Background:

  • Zika virus, chikungunya virus, and dengue virus are significant arboviruses.
  • Brazil is a region where these viruses are prevalent.
  • Imported arboviral infections pose a risk to non-endemic regions.

Observation:

  • A patient returning to Italy from Brazil in March 2015 presented with fever, rash, and edema of hands and feet.
  • Laboratory confirmation identified the cause as Zika virus infection.
  • This case represents an imported arboviral infection in Europe.

Findings:

  • The co-circulation of Zika, chikungunya, and dengue viruses in Brazil is confirmed.
  • This case marks the introduction of Zika virus into Europe from the Americas.
  • The patient's symptoms were consistent with Zika virus disease.

Implications:

  • Three major arboviruses now co-circulate in Brazil, increasing the disease burden.
  • The presence of competent mosquito vectors in Europe raises concerns about local transmission.
  • Healthcare systems in Brazil and other affected countries face significant challenges managing these co-circulating arboviruses.