寨卡病毒感染:与神经系统并发症相关的新发现

Di, R. Silva, Monara Nunes, V. Carvalho, Fern, António Sousa, C. Ventura, S. Teixeira, V. Bastos
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引用次数: 3

摘要

寨卡病毒感染已引起全世界的关注,在许多国家/地区都有报道。寨卡病毒(ZIKV;黄病毒属(Flavivirus)是一种由伊蚊属新出现的虫媒病毒在全球传播的病原体,最近巴西卫生部证实了ZIKV与东北地区小头症暴发之间的关联,但研究中尚不清楚这一过程的发病机制,为此我们在Pubmed、Medline和Lilacs数据库中进行了检索。文献报道,寨卡病毒感染的临床表现与登革热和基孔肯雅热等感染非常相似,但通常较轻且不会死亡,然而,缺乏针对寨卡病毒的特定商业血清学检测,使感染成为临床诊断的挑战。寨卡病毒与小头畸形的关联最初与妊娠头三个月有关,并导致神经系统并发症,即使不导致死亡,也会导致严重的功能限制,并伴有神经精神运动发育的变化。由于巴西报告的与寨卡病毒感染相关的小头畸形病例数量有所增加,因此应进行进一步讨论。
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Zika Virus Infection: New Findings Related to Neurological Complications
Zika virus infection has attracted attention of the world population, being reported in many countries / territories. The Zika virus (ZIKV; genus Flavivirus, family Flaviviridae) is a pathogen globally transmitted by emerging mosquitoes (arboviruses) of the genus Aedes spp. Recently in Brazil, the Ministry of Health confirmed the association between ZIKV and microcephaly outbreak in the Northeast, however, is not clear in the studies the pathogenesis of this process, which led us to conduct a review in databases Pubmed, Medline and Lilacs. The literature reports that the clinical manifestations of ZIKV infection are very similar to infections such as dengue and chikungunya, but usually milder and without deaths, however, the absence of specific commercial serological tests for ZIKV, makes infection a clinical challenge in diagnosis. The association of ZIKV with microcephaly is initially related to the first three months of pregnancy and leads to neurological complications that when does not result in death, causes severe functional limitations accompanied by changes in neuropsychomotor development. Because of the increased number of cases of microcephaly associated with ZIKV infection reported in Brazil, further discussions should be carried out.
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