Clinical and laboratory profile of Zika virus infection in dengue suspected patients: A case series

Background: The Zika virus (ZIKV) is an emerging arthropod-borne virus related to the dengue virus (DENV), and shows a similar clinical profile as other arboviral diseases, such as dengue and chikungunya virus (CHIKV). Historically, ZIKV has been associated with sporadic cases of human infection, bu...

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Bibliographic Details
Authors: Fernanda Estofolete, Cássia, Terzian, Ana Carolina Bernardes, Parreira, Ricardo, Esteves, Aida, Hardman, Lucas, Greque, Gilmar Valdir, Rahal, Paula [UNESP], Nogueira, Maurício Lacerda
Format: article
Status:Published version
Publication Date:2016
Country:Brasil
Institution:Universidade Estadual Paulista (UNESP)
Repository:Repositório Institucional da UNESP
Language:English
OAI Identifier:oai:repositorio.unesp.br:11449/173058
Online Access:http://dx.doi.org/10.1016/j.jcv.2016.05.012
http://hdl.handle.net/11449/173058
Access Level:Open access
Keyword:Arbovirus
Chikungunya virus
Dengue virus
NS1
Zika virus
Description
Summary:Background: The Zika virus (ZIKV) is an emerging arthropod-borne virus related to the dengue virus (DENV), and shows a similar clinical profile as other arboviral diseases, such as dengue and chikungunya virus (CHIKV). Historically, ZIKV has been associated with sporadic cases of human infection, but is now responsible for outbreaks worldwide. In Brazil, cases have been reported since 2015, with some cases causing severe disease. Objective: To identify clinical symptoms of Zika in patients in Dengue suspected patients. Study design: Description of a series of cases, wherein we analyzed 100 clinical samples collected from patients who exhibited acute febrile disease for ≤5 days, from January to February 2016. Results: In this study, we report 13 cases of ZIKV infection in adults presenting dengue-like symptoms in a DENV endemic area. All patients presented with fever, with myalgia being the second most frequently observed symptom. Two patients had rashes, but none of them had conjunctivitis. Other less frequent manifestations included headache, arthralgia, diarrhea, and nausea. Conclusion: The co-circulation of ZIKV and DENV is a serious public health concern, since it represents both a clinical and diagnostic challenge in endemic areas, as well as in the field of travel medicine.