Zika virus infection: epidemiology, clinical manifestations and diagnosis

Guilherme Amaral Calvet1, Flavia Barreto Dos Santos, Patricia Carvalho Sequeira

  • 1aAcute Febrile Illnesses Laboratory, Evandro Chagas National Institute of Infectious Diseases/Oswaldo Cruz Foundation bFlavivirus Laboratory, Oswaldo Cruz Institute/Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

Abstract

Insights

Zika virus (ZIKV) now poses a significant public health threat, causing severe birth defects like microcephaly and neurological issues such as Guillain-Barré syndrome (GBS). This review covers ZIKV

Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • Zika virus (ZIKV), an arbovirus, was previously considered to cause mild illness.
  • Recent outbreaks in French Polynesia and Brazil have highlighted severe congenital malformations (microcephaly) and neurological complications (Guillain-Barré syndrome).
  • ZIKV has spread throughout the Americas, prompting a Public Health Emergency of International Concern declaration by the WHO in 2016.

Purpose of the Study:

  • To review the epidemiology, clinical presentations, and diagnosis of Zika virus infection.
  • To highlight clinical features and non-vector-borne transmission routes of ZIKV.
  • To discuss the challenges in ZIKV diagnosis and the need for point-of-care tests.

Main Methods:

  • Literature review focusing on ZIKV epidemiology.
  • Analysis of clinical presentations and diagnostic challenges.
  • Examination of non-vector-borne transmission modes.

Main Results:

  • ZIKV is linked to severe fetal outcomes, including microcephaly and other birth defects.
  • An increased incidence of Guillain-Barré syndrome and other neurological complications is associated with ZIKV outbreaks.
  • Evidence supports ZIKV's sexual transmission, a unique characteristic among arboviruses.

Conclusions:

  • Zika virus represents an emerging disease with novel associated disorders.
  • New transmission modes, including maternal-fetal and sexual transmission, have been identified.
  • The findings underscore the need for improved diagnostic tools and public health strategies for ZIKV control.