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Published on: August 23, 2016
Zika virus and the current outbreak: an overview
M Goeijenbier1, L Slobbe, A van der Eijk
1Department of Viroscience, Erasmus MC, the Netherlands.
Abstract:
Zika virus (ZIKV), a mosquito-borne flavivirus closely related to yellow fever virus and dengue virus, is currently causing a large outbreak in the Americas. Historically, ZIKV infection was considered a sporadic, relatively mild disease characterised by fever, maculopapular rash, conjunctivitis and often arthralgia. However, current observational studies suggest that ZIKV may cause more severe neurological sequelae such as Guillain-Barre syndrome, and birth defects, mainly microcephaly, in babies of whom the mother was infected with ZIKV during pregnancy. This article provides a clinically focussed overview of ZIKV, with emphasis on the current outbreak, clinical manifestations, diagnostic tools and caveats.
Insights
Zika virus (ZIKV) outbreaks now cause severe neurological issues and birth defects like microcephaly, unlike its historically mild symptoms. This overview details ZIKV
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Zika virus (ZIKV) is a mosquito-borne flavivirus linked to yellow fever and dengue viruses.
- Historically, ZIKV infection presented as a mild illness with fever, rash, and conjunctivitis.
- Recent outbreaks reveal ZIKV's association with severe neurological complications and congenital abnormalities.
Purpose of the Study:
- To provide a clinically focused overview of Zika virus.
- To emphasize the current ZIKV outbreak in the Americas.
- To discuss clinical manifestations, diagnostic methods, and potential challenges associated with ZIKV.
Main Methods:
- Review of current observational studies and clinical data.
- Analysis of epidemiological trends during the ZIKV outbreak.
- Synthesis of information on ZIKV's clinical presentation and diagnostics.
Main Results:
- ZIKV infection, previously mild, is now linked to severe neurological sequelae, including Guillain-Barre syndrome.
- Maternal ZIKV infection during pregnancy is associated with significant birth defects, primarily microcephaly in infants.
- The current outbreak highlights the evolving and more severe clinical spectrum of ZIKV.
Conclusions:
- ZIKV poses a significant public health threat due to its potential for severe neurological and developmental outcomes.
- Accurate diagnosis and clinical management are crucial for mitigating ZIKV's impact.
- Continued research and surveillance are necessary to understand and combat ZIKV.
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