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Vector Competence Analyses on Aedes aegypti Mosquitoes using Zika Virus
Published on: May 31, 2020
[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.
Abstract:
Zika virus belongs to the Flaviridae, an extended phylogenetic family containing dengue or yellow fever, viruses whose shared main vector are Aedes aegypti mosquitoes. The virus originally came from Central African simian reservoirs and, from there, expanded rapidly across the Pacific to South America. The disease is an example of exantematic fever usually mild. Mortality is very low and mainly limited to secondary Guillain-Barré or fetal microcephaly cases. Diagnostic confirmation requires a RT-PCR in blood up to the 5th day from the onset or in urine up to the 10-14th day. Specific IgM are identifiable from the 5th symptomatic day. Clinically, a suspected case should comply with: a) a journey to epidemic areas; b) a clinically compatible appearance with fever and skin rash, and c) a generally normal blood count/basic biochemistry. There is some evidence that causally relates Zika virus infection with fetal microcephaly. While waiting for definitive data, all pregnant women coming from Central or South America should be tested for Zika virus.
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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