Duca Lindsey M, Beckham J David, Tyler Kenneth L, Pastula Daniel M
Colorado School of Public Health, University of Colorado Denver, Aurora, CO, USA.
Neuro-Infectious Diseases Group, Department of Neurology and Division of Infectious Diseases, University of Colorado Denver, Aurora, CO, USA.
Curr Infect Dis Rep. 2017 Jan;19(1):4. doi: 10.1007/s11908-017-0557-x.
The purpose of this article is to review what is currently known about Zika virus (ZIKV) disease and associated neurologic complications.
ZIKV is a mosquito-borne or sexually transmitted flavivirus rapidly spreading throughout the Americas. While ZIKV infection is usually asymptomatic, it may cause a non-specific illness with fever, rash, myalgia, headache, and/or non-purulent conjunctivitis. Additionally, ZIKV has been associated with a number of neurologic complications including microcephaly and other birth defects, Guillain-Barré syndrome, meningoencephalitis, myelitis, and various ophthalmologic abnormalities. Treatment for ZIKV disease is supportive. Those in ZIKV endemic areas should protect themselves from mosquito bites by wearing insect repellent, wearing long-sleeved shirts and pants when outdoors, and/or using air conditioning or window screens when indoors. Furthermore, unprotected sexual intercourse should be temporarily avoided by those who recently traveled to endemic areas. Suspected ZIKV disease cases should be reported to local, state, or territorial health departments.
本文旨在综述目前已知的寨卡病毒(ZIKV)疾病及相关神经并发症。
ZIKV是一种通过蚊虫叮咬或性传播的黄病毒,正在美洲迅速传播。虽然ZIKV感染通常无症状,但可能会引起一种非特异性疾病,伴有发热、皮疹、肌痛、头痛和/或非脓性结膜炎。此外,ZIKV还与多种神经并发症有关,包括小头畸形和其他出生缺陷、吉兰-巴雷综合征、脑膜脑炎、脊髓炎以及各种眼科异常。ZIKV疾病的治疗以支持治疗为主。生活在ZIKV流行地区的人应通过涂抹驱蚊剂、在户外活动时穿长袖衬衫和长裤,以及/或者在室内使用空调或纱窗来防止蚊虫叮咬。此外,近期前往流行地区的人应暂时避免无保护的性行为。疑似ZIKV疾病病例应报告给当地、州或地区卫生部门。