Case Report: Multiorgan Involvement with Congenital Zika Syndrome.


Journal

The American journal of tropical medicine and hygiene
ISSN: 1476-1645
Titre abrégé: Am J Trop Med Hyg
Pays: United States
ID NLM: 0370507

Informations de publication

Date de publication:
10 2020
Historique:
pubmed: 30 7 2020
medline: 24 11 2020
entrez: 30 7 2020
Statut: ppublish

Résumé

We report the case of an infant born with congenital Zika syndrome (CZS). During the largest Zika virus (ZIKV) outbreak in Peru, the mother presented with fever and rash that were confirmed to be due to ZIKV by real-time PCR. The infant was born with severe microcephaly. Imaging revealed corpus callosum dysgenesis, lissencephaly, ventriculomegaly, and calcifications. Mild hypertrophic cardiomyopathy with diastolic dysfunction was reported in the echocardiogram. Valgus deviation of the lower extremities and a left clubfoot were diagnosed at birth. The hip ultrasound showed incipient signs of Graf type II dysplasia. The findings confirm that CZS is a multiorgan phenotype in which microcephaly is merely the tip of the iceberg. A multidisciplinary approach is needed for the evaluation of these children.

Identifiants

pubmed: 32723426
doi: 10.4269/ajtmh.20-0421
pmc: PMC7543855
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1656-1659

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Auteurs

Rodrigo Cachay (R)

1Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.

Alvaro Schwalb (A)

1Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.

Takashi Watanabe (T)

1Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.

Doris Guzman (D)

2Hospital Cayetano Heredia, Lima, Peru.

Thomas Jaenisch (T)

3Heidelberg Institute of Global Health (HIGH), Heidelberg University Hospital, Heidelberg, Germany.
4Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.

Daniel Guillén-Pinto (D)

2Hospital Cayetano Heredia, Lima, Peru.

Eduardo Gotuzzo (E)

1Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.

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Classifications MeSH