Case report: First case of Zika virus infection in a returning Canadian traveler

Autor(es): Fonseca K., Meatherall B., Zarra D., Drebot M., MacDonald J., Pabbaraju K., Wong S., Webster P., Lindsay R., Tellier R.


Resumo: A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.


Palavras-Chave: Flavivirus, virus infection (etiology), Zika virus


Imprenta: American Journal of Tropical Medicine and Hygiene, v. 91, n. 5, p. 1035-1038, nov. 2014


Descritores: Zika virus - Cell ; Zika virus - Flaviviridae ; Zika virus - Public health ; Zika virus - Zika fever


Data de publicação: 2014