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寨卡病毒的疾病传播与诊断

Disease Transmission and Diagnosis of Zika Virus.

作者信息

Bhandari Vinaya, Taksande Avinash B, Sapkale Bhagyesh

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Physiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Nov 22;15(11):e49263. doi: 10.7759/cureus.49263. eCollection 2023 Nov.

Abstract

An arbovirus belonging to the family and the genus, the Zika virus (ZIKV), has profoundly transformed global health perception. Historically, ZIKV infections were considered infrequent, with generally mild manifestations. However, this perception changed dramatically when the virus quickly spread from Asia to the Americas, impacting many nations. It was alarming that there was a connection between ZIKV infection in pregnant women and the beginning of microcephaly in their offspring. ZIKV control and treatment are further complicated because mosquitoes, which primarily bite during the day, are the primary vectors of the virus. ZIKV diagnostic processes are complex since the virus shares symptoms with other illnesses like dengue and chikungunya. Despite the effectiveness of current diagnostic methods like real-time reverse transcription-polymerase chain reaction (RT-PCR) and enzyme-linked immunosorbent assay (ELISA), there is a clear need for more accurate antibody tests. This is especially true given that many people undergo testing while asymptomatic or after the ideal detection window. The capacity of ZIKV to infect human-derived neural progenitor cells raises worrying possibilities for severe neurological effects. With all these characteristics and their connection to birth abnormalities, research efforts into the virus's efficient treatment and prevention have increased. Overall, the emergence of ZIKV has demonstrated the necessity of a comprehensive and team-based strategy to address its myriad problems. This entails comprehending its transmission dynamics, enhancing diagnostic accuracy, and creating efficient therapies and preventive measures, all crucial to lessening the threat that ZIKV poses to the world's health.

摘要

寨卡病毒(ZIKV)是一种属于该科该属的虫媒病毒,它深刻地改变了全球对健康的认知。从历史上看,寨卡病毒感染被认为并不常见,通常症状较轻。然而,当这种病毒迅速从亚洲传播到美洲,影响到许多国家时,这种认知发生了巨大变化。令人担忧的是,孕妇感染寨卡病毒与她们后代小头畸形的出现之间存在关联。由于主要在白天叮咬的蚊子是该病毒的主要传播媒介,寨卡病毒的控制和治疗进一步复杂化。寨卡病毒的诊断过程很复杂,因为该病毒与登革热和基孔肯雅热等其他疾病有共同症状。尽管当前的诊断方法如实时逆转录聚合酶链反应(RT-PCR)和酶联免疫吸附测定(ELISA)有效,但显然需要更准确的抗体检测。鉴于许多人在无症状时或在理想检测窗口之后进行检测,情况尤其如此。寨卡病毒感染人源神经祖细胞的能力引发了对严重神经影响的担忧。鉴于所有这些特征及其与出生缺陷的关联,针对该病毒有效治疗和预防的研究工作有所增加。总体而言,寨卡病毒的出现表明需要一种全面的、基于团队的策略来解决其众多问题。这需要了解其传播动态、提高诊断准确性,并开发有效的治疗方法和预防措施,所有这些对于减轻寨卡病毒对全球健康构成的威胁都至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4858/10923262/af59975da2b1/cureus-0015-00000049263-i01.jpg

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