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First case of Zika virus infection in a returning Canadian traveler.

Abstract A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title the american journal of tropical medicine and hygiene
Publication Year Start
%A Fonseca, Kevin; Meatherall, Bonnie; Zarra, Danielle; Drebot, Michael; MacDonald, Judy; Pabbaraju, Kanti; Wong, Sallene; Webster, Patricia; Lindsay, Robbin; Tellier, Raymond
%T First case of Zika virus infection in a returning Canadian traveler.
%J The American journal of tropical medicine and hygiene, vol. 91, no. 5, pp. 1035-1038
%D 11/2014
%V 91
%N 5
%M eng
%B A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.
%K Antibodies, Viral, Canada, Dengue, Diagnostic Errors, Female, Fever, Humans, Immunoglobulin M, Polymerase Chain Reaction, RNA, Viral, Thailand, Travel, Zika Virus, Zika Virus Infection
%P 1035
%L 1038
%Y 10.4269/ajtmh.14-0151
%W PHY
%G AUTHOR
%R 2014.......91.1035F

@Article{Fonseca2014,
author="Fonseca, Kevin
and Meatherall, Bonnie
and Zarra, Danielle
and Drebot, Michael
and MacDonald, Judy
and Pabbaraju, Kanti
and Wong, Sallene
and Webster, Patricia
and Lindsay, Robbin
and Tellier, Raymond",
title="First case of Zika virus infection in a returning Canadian traveler.",
journal="The American journal of tropical medicine and hygiene",
year="2014",
month="Nov",
day="06",
volume="91",
number="5",
pages="1035--1038",
keywords="Antibodies, Viral",
keywords="Canada",
keywords="Dengue",
keywords="Diagnostic Errors",
keywords="Female",
keywords="Fever",
keywords="Humans",
keywords="Immunoglobulin M",
keywords="Polymerase Chain Reaction",
keywords="RNA, Viral",
keywords="Thailand",
keywords="Travel",
keywords="Zika Virus",
keywords="Zika Virus Infection",
abstract="A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99\% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.",
issn="1476-1645",
doi="10.4269/ajtmh.14-0151",
url="http://www.ncbi.nlm.nih.gov/pubmed/25294619",
language="eng"
}

%0 Journal Article
%T First case of Zika virus infection in a returning Canadian traveler.
%A Fonseca, Kevin
%A Meatherall, Bonnie
%A Zarra, Danielle
%A Drebot, Michael
%A MacDonald, Judy
%A Pabbaraju, Kanti
%A Wong, Sallene
%A Webster, Patricia
%A Lindsay, Robbin
%A Tellier, Raymond
%J The American journal of tropical medicine and hygiene
%D 2014
%8 Nov 06
%V 91
%N 5
%@ 1476-1645
%G eng
%F Fonseca2014
%X A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.
%K Antibodies, Viral
%K Canada
%K Dengue
%K Diagnostic Errors
%K Female
%K Fever
%K Humans
%K Immunoglobulin M
%K Polymerase Chain Reaction
%K RNA, Viral
%K Thailand
%K Travel
%K Zika Virus
%K Zika Virus Infection
%U http://dx.doi.org/10.4269/ajtmh.14-0151
%U http://www.ncbi.nlm.nih.gov/pubmed/25294619
%P 1035-1038

PT Journal
AU Fonseca, K
   Meatherall, B
   Zarra, D
   Drebot, M
   MacDonald, J
   Pabbaraju, K
   Wong, S
   Webster, P
   Lindsay, R
   Tellier, R
TI First case of Zika virus infection in a returning Canadian traveler.
SO The American journal of tropical medicine and hygiene
JI Am. J. Trop. Med. Hyg.
PD Nov
PY 2014
BP 1035
EP 1038
VL 91
IS 5
DI 10.4269/ajtmh.14-0151
LA eng
DE Antibodies, Viral; Canada; Dengue; Diagnostic Errors; Female; Fever; Humans; Immunoglobulin M; Polymerase Chain Reaction; RNA, Viral; Thailand; Travel; Zika Virus; Zika Virus Infection
AB A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.
ER

PMID- 25294619
OWN - NLM
STAT- MEDLINE
DA  - 20141105
DCOM- 20150109
LR  - 20160203
IS  - 1476-1645 (Electronic)
IS  - 0002-9637 (Linking)
VI  - 91
IP  - 5
DP  - 2014 Nov
TI  - First case of Zika virus infection in a returning Canadian traveler.
PG  - 1035-8
LID - 10.4269/ajtmh.14-0151 [doi]
AB  - A woman who recently traveled to Thailand came to a local emergency department
      with a fever and papular rash. She was tested for measles, malaria, and dengue.
      Positive finding for IgM antibody against dengue and a failure to seroconvert for
      IgG against dengue for multiple blood samples suggested an alternate flavivirus
      etiology. Amplification of a conserved region of the non-structural protein 5
      gene of the genus Flavivirus yielded a polymerase chain reaction product with a
      matching sequence of 99% identity with Zika virus. A urine sample and a
      nasopharygeal swab specimen obtained for the measles investigation were also
      positive for this virus by reverse transcription polymerase chain reaction.
      Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This
      case report describes a number of novel clinical and laboratory findings, the
      first documentation of this virus in Canada, and the second documentation from
      this region in Thailand.
CI  - (c) The American Society of Tropical Medicine and Hygiene.
FAU - Fonseca, Kevin
AU  - Fonseca K
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada
      [email protected]
FAU - Meatherall, Bonnie
AU  - Meatherall B
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Zarra, Danielle
AU  - Zarra D
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Drebot, Michael
AU  - Drebot M
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - MacDonald, Judy
AU  - MacDonald J
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Pabbaraju, Kanti
AU  - Pabbaraju K
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Wong, Sallene
AU  - Wong S
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Webster, Patricia
AU  - Webster P
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Lindsay, Robbin
AU  - Lindsay R
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Tellier, Raymond
AU  - Tellier R
AD  - Provincial Laboratory for Public Health, Calgary, Alberta, Canada; Alberta Health
      Services, Calgary, Alberta, Canada; National Microbiology Laboratory; Public
      Health Agency of Canada, Winnipeg, Manitoba, Canada; University of Calgary,
      Calgary, Alberta, Canada; University of Manitoba, Winnipeg, Manitoba, Canada.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20141006
PL  - United States
TA  - Am J Trop Med Hyg
JT  - The American journal of tropical medicine and hygiene
JID - 0370507
RN  - 0 (Antibodies, Viral)
RN  - 0 (Immunoglobulin M)
RN  - 0 (RNA, Viral)
SB  - AIM
SB  - IM
MH  - Antibodies, Viral/blood
MH  - Canada
MH  - Dengue/blood/diagnosis/immunology
MH  - Diagnostic Errors
MH  - Female
MH  - Fever
MH  - Humans
MH  - Immunoglobulin M/blood
MH  - Polymerase Chain Reaction
MH  - RNA, Viral/isolation & purification
MH  - Thailand
MH  - Travel
MH  - Zika Virus/*isolation & purification
MH  - Zika Virus Infection/blood/*diagnosis/*epidemiology/immunology
PMC - PMC4228871
OID - NLM: PMC4228871
EDAT- 2014/10/09 06:00
MHDA- 2015/01/13 06:00
CRDT- 2014/10/09 06:00
PHST- 2014/10/06 [aheadofprint]
AID - ajtmh.14-0151 [pii]
AID - 10.4269/ajtmh.14-0151 [doi]
PST - ppublish
SO  - Am J Trop Med Hyg. 2014 Nov;91(5):1035-8. doi: 10.4269/ajtmh.14-0151. Epub 2014
      Oct 6.
TY  - JOUR
AU  - Fonseca, Kevin
AU  - Meatherall, Bonnie
AU  - Zarra, Danielle
AU  - Drebot, Michael
AU  - MacDonald, Judy
AU  - Pabbaraju, Kanti
AU  - Wong, Sallene
AU  - Webster, Patricia
AU  - Lindsay, Robbin
AU  - Tellier, Raymond
PY  - 2014/Nov/06
TI  - First case of Zika virus infection in a returning Canadian traveler.
T2  - Am. J. Trop. Med. Hyg.
JO  - The American journal of tropical medicine and hygiene
SP  - 1035
EP  - 1038
VL  - 91
IS  - 5
KW  - Antibodies, Viral
KW  - Canada
KW  - Dengue
KW  - Diagnostic Errors
KW  - Female
KW  - Fever
KW  - Humans
KW  - Immunoglobulin M
KW  - Polymerase Chain Reaction
KW  - RNA, Viral
KW  - Thailand
KW  - Travel
KW  - Zika Virus
KW  - Zika Virus Infection
N2  - A woman who recently traveled to Thailand came to a local emergency department with a fever and papular rash. She was tested for measles, malaria, and dengue. Positive finding for IgM antibody against dengue and a failure to seroconvert for IgG against dengue for multiple blood samples suggested an alternate flavivirus etiology. Amplification of a conserved region of the non-structural protein 5 gene of the genus Flavivirus yielded a polymerase chain reaction product with a matching sequence of 99% identity with Zika virus. A urine sample and a nasopharygeal swab specimen obtained for the measles investigation were also positive for this virus by reverse transcription polymerase chain reaction. Subsequently, the urine sample yielded a Zika virus isolate in cell culture. This case report describes a number of novel clinical and laboratory findings, the first documentation of this virus in Canada, and the second documentation from this region in Thailand.
SN  - 1476-1645
UR  - http://dx.doi.org/10.4269/ajtmh.14-0151
UR  - http://www.ncbi.nlm.nih.gov/pubmed/25294619
ID  - Fonseca2014
ER  - 
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