[Zika virus infection or the future of infectious diseases]

Lluís Valerio Sallent1, Sílvia Roure Díez2, Gema Fernández Rivas3

  • 1PROSICS Metropolitana Nord, Institut Català de la Salut, Universitat Autònoma de Barcelona, Santa Coloma de Gramenet, España.

Medicina Clinica
|May 10, 2016
PubMed

Insights

Zika virus, a mild fever illness spread by Aedes mosquitoes, can cause Guillain-Barré syndrome and fetal microcephaly. Early diagnosis via RT-PCR or IgM tests is crucial, especially for pregnant women in endemic areas.

Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • Zika virus, a Flaviviridae family member, is transmitted by Aedes mosquitoes.
  • It originated in African simian reservoirs and spread globally, notably to South America.
  • Zika virus infection typically presents as a mild exantematic fever.

Purpose of the Study:

  • To summarize the characteristics of Zika virus infection.
  • To outline diagnostic criteria and methods for Zika virus.
  • To highlight the association between Zika virus and fetal microcephaly.

Main Methods:

  • Diagnostic confirmation involves RT-PCR in blood or urine.
  • Detection of specific IgM antibodies is also used.
  • Clinical diagnosis relies on travel history, compatible symptoms (fever, rash), and bloodwork.

Main Results:

  • Mortality is low, but complications include Guillain-Barré syndrome and fetal microcephaly.
  • RT-PCR is effective for early detection (blood: up to 5 days; urine: up to 14 days).
  • IgM antibodies appear around the 5th symptomatic day.

Conclusions:

  • Zika virus infection presents a mild febrile illness with potential severe neurological and developmental complications.
  • Timely diagnosis is essential, particularly for pregnant women with travel history to endemic regions.
  • Further research is needed to confirm the causal link with fetal microcephaly.

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