Traveler's Medical Service of New York, New York, NY, USA.
School of Nursing, Columbia University, New York, NY, USA.
J Travel Med. 2015 Sep-Oct;22(5):338-40. doi: 10.1111/jtm.12208. Epub 2015 May 21.
We report the case of a 48-year-old American traveler who presented to our clinic with diffuse rash, malaise, fatigue, fever, arthralgia, low back pain, and bilateral exudative conjunctivitis. The patient had an extensive vaccination and travel history: most notable for prior receipt of yellow fever vaccine; extensive travel or residence in areas endemic for dengue, chikungunya, and West Nile virus; and recent travel to French Polynesia. Clinical and laboratory findings were consistent with Zika virus (ZIKV) infection. Our report highlights the need to include ZIKV in the differential diagnosis, especially in febrile patients with a rash returning from endemic areas.
我们报告了一例 48 岁的美国旅行者，他因全身皮疹、不适、疲劳、发热、关节痛、腰痛和双侧渗出性结膜炎就诊于我们的诊所。该患者有广泛的疫苗接种和旅行史：最值得注意的是曾接种过黄热病疫苗；广泛旅行或居住在登革热、基孔肯雅热和西尼罗河病毒流行地区；并且最近前往法属波利尼西亚。临床和实验室检查结果符合 Zika 病毒（ZIKV）感染。我们的报告强调了需要将 ZIKV 纳入鉴别诊断，特别是从流行地区返回的发热伴有皮疹的患者。
