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Zika virus infection

最后审阅: 12 Dec 2025
最后更新: 03 Jun 2025

小结

定义

História e exame físico

Principais fatores diagnósticos

  • residence in/travel from endemic area
  • fever
  • maculopapular rash
  • arthralgia
  • conjunctivitis
  • features of congenital Zika syndrome (infants)
  • features of Guillain-Barre syndrome
Detalhes completos

Outros fatores diagnósticos

  • other constitutional symptoms
  • gastrointestinal symptoms
  • retro-orbital pain
  • edema of lower limbs
  • transient hearing loss in adults
Detalhes completos

Fatores de risco

  • residence in/travel from endemic area
  • mosquito bites in endemic area
  • unprotected sexual contact with infected individual
  • blood transfusion from infected individual
  • sperm donation from infected individual
  • exposure to other infected body fluids
  • exposure to infected human cells/tissues
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • reverse transcriptase-polymerase chain reaction (RT-PCR)
  • serology
  • testing for other arboviruses
Detalhes completos

Investigações a serem consideradas

  • prenatal ultrasound
  • amniocentesis
  • head circumference measurement (newborn)
  • newborn further evaluation
  • CT/MRI head (newborn)
  • tests for Guillain-Barre syndrome
Detalhes completos

Algoritmo de tratamento

AGUDA

symptomatic: nonpregnant

pregnant: with possible mosquito-borne or sexual exposure

congenital Zika syndrome

Zika-associated Guillain-Barre syndrome

Colaboradores

Autores

Adriana Scavuzzi, MD, MSc, PhD

Coordinator Obstetrics/Gynecology

Microcephaly Working Group

Instituto de Medicina Integral Professor Fernando Figueira (IMIP)

Recife

Brazil

Declarações

AS declares that she has no competing interests.

Agradecimentos

Dr Adriana Scavuzzi would like to gratefully acknowledge Dr Geraldo Furtado, a previous contributor to this topic.

Declarações

GF is an author of references cited in this topic.

Revisores

William A. Petri, Jr., MD, PhD

Chief

Division of Infectious Diseases and International Health

University of Virginia

Charlottesville

VA

Declarações

WAP declares that he has no competing interests.

Dominic Dwyer, BSc (Med), MBBS, MD, FRACP, FRCPA

Director

Institute of Clinical Pathology and Medical Research

Pathology West

Westmead Hospital

Sydney

Australia

Declarações

DD is a member of Advisory Boards for bioCSL and GSK in antivirals and vaccines.

Chad Achenbach, MD, MPH

Assistant Professor

Division of Infectious Diseases

Northwestern University Feinberg School of Medicine

Chicago

IL

Declarações

CA declares that he has no competing interests.

Henry Wu, MD, DTM&H

Assistant Professor of Medicine

TravelWell Center

Division of Infectious Diseases

Atlanta

GA

Declarações

HW declares that he has no competing interests.

Créditos aos pareceristas

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Referências

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Principais artigos

Adebanjo T, Godfred-Cato S, Viens L, et al. Update: interim guidance for the diagnosis, evaluation, and management of infants with possible congenital Zika virus infection - United States, October 2017. MMWR Morb Mortal Wkly Rep. 2017 Oct 20;66(41):1089-99.Texto completo  Resumo

Pan American Health Organization; World Health Organization. Provisional remarks on Zika virus infection in pregnant women: document for health care professionals. Jan 2016 [internet publication].Texto completo

World Health Organization. Zika virus fact sheet. Dec 2022 [internet publication].Texto completo

Centers for Disease Control and Prevention. Zika virus: clinical testing and diagnosis for Zika virus disease. Feb 2025 [internet publication].Texto completo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
  • Zika virus infection images
  • Diagnósticos diferenciais

    • Dengue fever
    • Chikungunya virus
    • West Nile virus
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Clinical testing and diagnosis for Zika virus disease
    • CDC Yellow Book: health information for international travel - Zika
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Zika virus

    Mais Folhetos informativos para os pacientes
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