1. Zika Virus Infection and Solid Organ Transplantation: A New Challenge
- Author
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Nogueira, M. L., Estofolete, C. F., Terzian, A. C. B., Mascarin do Vale, E. P. B., Silva, R. C. M. A., Silva, R. F., Ramalho, H. J., Fernandes Charpiot, I. M. M., Vasilakis, N., and Abbud‐Filho, M.
- Abstract
Public health concerns exist surrounding the epidemic of the Zika virus (ZIKV) and the rapid growth of transplantation in developing countries, including endemic zones of active arbovirus transmission, as well as travel to such regions by potential organ donors and recipients. Few data exist regarding the clinical characteristics of ZIKVinfection in immunocompromised hosts. Laboratory screening protocols for transplantation to differentiate ZIKVinfections from other endemic viral diseases and for the detection of possible donor‐derived infection have not been stated. The diagnosis of ZIKVinfection remains a challenge, fueled by the lack of standardized commercially available diagnostic tests and validated reference diagnostic laboratories, as well as the limited duration of ZIKVviremia. In this small series, ZIKVinfection in renal and liver recipients presented without rash, conjunctivitis, or neurological symptoms, and with abnormal graft function, thrombocytopenia, and bacterial superinfection. We report the first case series of ZIKVinfection in solid organ recipients, with a description of clinical and laboratory features and therapeutic management. In this study, the authors describe the features of Zika infection in solid organ transplant. See the editorial from Blumberg and Fishman on page 599.
- Published
- 2017
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