INFECCIÓN CONGÉNITA POR EL VIRUS ZIKA EN BOLIVIA: UNA REALIDAD SUBDIAGNOSTICADA
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Rev. Méd. La Paz
Abstract
El virus del Zika ha surgido como una nueva amenaza para la salud pública, transmitido por artrópodos, también puede ser vertical que resulta en una infección congénita; transmisión intraparto de una madre virémica a su recién nacido; sexual; por transfusiones y por trasplante de órganos. La infección puede cursar de forma asintomática; sin embargo; las mujeres embarazadas, son particularmente susceptibles al virus, que a menudo se propaga a los tejidos vitales del feto en desarrollo produciendo alteraciones neurológicas, lo más característico es la microcefalia, deterioro neurológico, contracturas congénitas, anomalías cerebrales y oculares. Presentamos el caso de una niña de cuatro meses de edad procedente y residente de Caranavi con microcefalia, retraso global del desarrollo, conjuntivitis, displasia de cadera, con serología (IgM)para virus ZIKA positivo, tomografía computarizada (TAC) de encéfalo con calcificaciones periventriculares, atrofia cortical y ventriculomegalia. Paciente presenta profundo retraso en desarrollo psicomotor y se encuentra en seguimiento por Infectología, Neurología, Traumatología, Fisioterapia y rehabilitación.
The Zika virus has emerged as a new threat to public health, transmitted by arthropods, it can also be vertical resulting in a congenital infection; intrapartum transmission of a viraemic mother to her newborn; sexual; by transfusions and by organ transplantation. The infection may be asymptomatic; Nevertheless; pregnant women are particularly susceptible to the virus, which often spreads to the vital tissues of the developing fetus producing neurological alterations, the most characteristic being microcephaly, neurological deterioration, congenital contractures, cerebral and ocular abnormalities. We present the case of a 4-month-old girl from Caranavi with microcephaly, global developmental delay, conjunctivitis, hip dysplasia, with serology (IgM) for positive ZIKA virus, brain CT scan with periventricular calcifications, cortical atrophy and ventriculomegaly. Patient has a profound delay in psychomotor development and is in follow-up due to Infectology, Neurology, Traumatology, Physiotherapy and rehabilitation.
The Zika virus has emerged as a new threat to public health, transmitted by arthropods, it can also be vertical resulting in a congenital infection; intrapartum transmission of a viraemic mother to her newborn; sexual; by transfusions and by organ transplantation. The infection may be asymptomatic; Nevertheless; pregnant women are particularly susceptible to the virus, which often spreads to the vital tissues of the developing fetus producing neurological alterations, the most characteristic being microcephaly, neurological deterioration, congenital contractures, cerebral and ocular abnormalities. We present the case of a 4-month-old girl from Caranavi with microcephaly, global developmental delay, conjunctivitis, hip dysplasia, with serology (IgM) for positive ZIKA virus, brain CT scan with periventricular calcifications, cortical atrophy and ventriculomegaly. Patient has a profound delay in psychomotor development and is in follow-up due to Infectology, Neurology, Traumatology, Physiotherapy and rehabilitation.
Description
Vol. 24, No. 2