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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.
ResumoA 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-ChaveFlavivirus, virus infection (etiology), Zika virus
ImprentaAmerican Journal of Tropical Medicine and Hygiene, v. 91, n. 5, p. 1035-1038, nov. 2014
DescritoresZika virus - Cell ; Zika virus - Flaviviridae ; Zika virus - Public health ; Zika virus - Zika fever
Data de Publicação:2014