Microcephaly and Zika Virus: clinical features and associations

• Autor(a) principal: Bastos, Cynthia Molina
• Data de Publicação: 2016
• Outros Autores: D'Avila, Otávio Pereira, Umpierre, Roberto Nunes, Faccini, Lavínia Schuler, Gonçalves, Marcelo Rodrigues, Harzheim, Erno
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/1297
• topic: Microcephaly. Flavivirus. Aedes. Zika vírus. Pregnant Women.; Microcefalia. Flavivirus. Aedes. Virus Zika. Mujeres Embarazadas.; Microcefalia Flavivirus Aedes. Zika vírus. Gestantes.; Microcefalia

Objective: To discuss the association between microcephaly and intrauterine infection by Zika virus. Microcephaly occurs when a child is born with a head smaller than expected when compared to babies of the same sex and age. Known causes of microcephaly include congenital infections. The increase in the number of microcephaly cases in Northeast Brazil between October and November 2015, which coincided with the emergence of Zika virus in the country in May of the same year, led to the hypothesis of an association between microcephaly and intrauterine Zika virus infection. Zika is an arbovirus that is closely related to yellow fever and dengue viruses. Aedes aegypti mosquitoes are the primary vector of transmission. Possible transmission through sexual contact and blood transfusion, as well as the implication of other vectors, such as Aedes albopictus and even Culex sp increases the need for preventive action. The test for viral detection is ideally performed before the 5th day following the onset of symptoms. Serology tests are not yet widely available in Brazil. Methods: We performed a narrative literature review. Conclusion: The hypothesis of an association between microcephaly and Zika virus is based on reports of spatial/temporal relationship, pattern of neurologic alterations associated with congenital malformations, and findings of viral RNA in amniotic fluid and fetal tissue. Definitive conclusions about the causality can only be reached after further research and availability of laboratory tests. The current evidence strongly supports the association between microcephaly and Zika infection, and all preventive measures must be stimulated.