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Am J Trop Med Hyg ; 99(5): 1318-1320, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30255830

RESUMO

Zika virus (ZIKV) was first detected in the Americas in Brazil in 2015, with a rapid spread to surrounding countries. In Panama, the outbreak began in November 2015 in an indigenous community located on the Caribbean side of the country. Zika virus is typically associated with a diffuse rash, fever, and conjunctivitis. It can rarely cause neurologic manifestations, most commonly microcephaly and Guillain-Barré syndrome. Encephalitis and acute encephalomyelitis are known complications, but ZIKV-associated cerebellitis has yet to be reported in the literature. Herein, we report a case of cerebellitis in a patient infected with ZIKV. This patient developed severe frontal headache and vertigo on the third day of illness, and dysarthria and ataxia on the fifth day. After 1 week of hospitalization, the patient completely recovered. The laboratory serological diagnosis was complicated because of the detection of antibodies against dengue, suggesting a secondary flavivirus infection.


Assuntos
Doenças Cerebelares/diagnóstico por imagem , Doenças Cerebelares/virologia , Infecção por Zika virus/complicações , Adulto , Anticorpos Antivirais/sangue , Ataxia/virologia , Brasil , Doenças Cerebelares/terapia , Coinfecção/diagnóstico , Coinfecção/virologia , Dengue/diagnóstico , Feminino , Infecções por Flavivirus/diagnóstico , Cefaleia/virologia , Hospitalização , Humanos , Reação em Cadeia da Polimerase , RNA Viral/genética , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Vertigem/virologia , Zika virus/genética , Zika virus/isolamento & purificação , Infecção por Zika virus/diagnóstico
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