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First detection of autochthonous Zika virus transmission in a HIV-infected patient in Rio de Janeiro, Brazil.

Abstract Since May 2015, Brazil's Ministry of Health has reported autochthonous transmission of Zika virus (ZIKV) in some states of the country. Simultaneous circulation of Dengue, Chikungunya and ZIKV in the country hinder both the diagnosis and the therapeutic approach of patients seeking care with acute febrile illnesses especially in patients with comorbidities. The association between HIV infection and endemic diseases has been described especially in tropical regions with varying levels of complications, although there has been no report of ZIKV in HIV-infected patients. We report the first autochthonous case of laboratory confirmed ZIKV infection in a HIV-infected patient in Rio de Janeiro, Brazil. He evolved with only mild symptoms and recovered well without major laboratory abnormalities. Phylogenetic analysis of the ZIKV detected in the patient sera clustered within the Asian clade. To the best of our knowledge, this is the first time that Zika virus co-infection is reported in a HIV-infected patient.
PMID
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Authors

Mayor MeshTerms
Keywords

Arbovirus

Brazil

HIV

ZIKV

Zika

Journal Title journal of clinical virology : the official publication of the pan american society for clinical virology
Publication Year Start




PMID- 26615388
OWN - NLM
STAT- MEDLINE
DA  - 20160102
DCOM- 20161114
LR  - 20161230
IS  - 1873-5967 (Electronic)
IS  - 1386-6532 (Linking)
VI  - 74
DP  - 2016 Jan
TI  - First detection of autochthonous Zika virus transmission in a HIV-infected
      patient in Rio de Janeiro, Brazil.
PG  - 1-3
LID - 10.1016/j.jcv.2015.11.014 [doi]
LID - S1386-6532(15)00748-9 [pii]
AB  - Since May 2015, Brazil's Ministry of Health has reported autochthonous
      transmission of Zika virus (ZIKV) in some states of the country. Simultaneous
      circulation of Dengue, Chikungunya and ZIKV in the country hinder both the
      diagnosis and the therapeutic approach of patients seeking care with acute
      febrile illnesses especially in patients with comorbidities. The association
      between HIV infection and endemic diseases has been described especially in
      tropical regions with varying levels of complications, although there has been no
      report of ZIKV in HIV-infected patients. We report the first autochthonous case
      of laboratory confirmed ZIKV infection in a HIV-infected patient in Rio de
      Janeiro, Brazil. He evolved with only mild symptoms and recovered well without
      major laboratory abnormalities. Phylogenetic analysis of the ZIKV detected in the
      patient sera clustered within the Asian clade. To the best of our knowledge, this
      is the first time that Zika virus co-infection is reported in a HIV-infected
      patient.
CI  - Copyright (c) 2015 Elsevier B.V. All rights reserved.
FAU - Calvet, Guilherme A
AU  - Calvet GA
AD  - Acute Febrile Illnesses Laboratory, Evandro Chagas National Institute of
      Infectious Diseases, Av Brasil 4365, Manguinhos, Rio de Janeiro, Rio de Janeiro
      21045-360, Brazil. Electronic address: [email protected]
FAU - Filippis, Ana Maria B
AU  - Filippis AM
AD  - Flavivirus Laboratory, Oswaldo Cruz Institute/Oswaldo Cruz Foundation, Av Brasil 
      4365, Manguinhos, Rio de Janeiro, Rio de Janeiro 21045-360, Brazil. Electronic
      address: [email protected]
FAU - Mendonca, Marcos Cesar L
AU  - Mendonca MC
AD  - Flavivirus Laboratory, Oswaldo Cruz Institute/Oswaldo Cruz Foundation, Av Brasil 
      4365, Manguinhos, Rio de Janeiro, Rio de Janeiro 21045-360, Brazil. Electronic
      address: [email protected]
FAU - Sequeira, Patricia C
AU  - Sequeira PC
AD  - Flavivirus Laboratory, Oswaldo Cruz Institute/Oswaldo Cruz Foundation, Av Brasil 
      4365, Manguinhos, Rio de Janeiro, Rio de Janeiro 21045-360, Brazil. Electronic
      address: [email protected]
FAU - Siqueira, Andre M
AU  - Siqueira AM
AD  - Acute Febrile Illnesses Laboratory, Evandro Chagas National Institute of
      Infectious Diseases, Av Brasil 4365, Manguinhos, Rio de Janeiro, Rio de Janeiro
      21045-360, Brazil. Electronic address: [email protected]
FAU - Veloso, Valdilea G
AU  - Veloso VG
AD  - STD/AIDS Clinical Research Laboratory, Evandro Chagas National Institute of
      Infectious Diseases, Oswaldo Cruz Foundation, Av Brasil 4365, Manguinhos, Rio de 
      Janeiro, Rio de Janeiro 21045-360, Brazil. Electronic address:
      [email protected]
FAU - Nogueira, Rita M
AU  - Nogueira RM
AD  - Flavivirus Laboratory, Oswaldo Cruz Institute/Oswaldo Cruz Foundation, Av Brasil 
      4365, Manguinhos, Rio de Janeiro, Rio de Janeiro 21045-360, Brazil. Electronic
      address: [email protected]
FAU - Brasil, Patricia
AU  - Brasil P
AD  - Acute Febrile Illnesses Laboratory, Evandro Chagas National Institute of
      Infectious Diseases, Av Brasil 4365, Manguinhos, Rio de Janeiro, Rio de Janeiro
      21045-360, Brazil. Electronic address: [email protected]
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20151123
PL  - Netherlands
TA  - J Clin Virol
JT  - Journal of clinical virology : the official publication of the Pan American
      Society for Clinical Virology
JID - 9815671
SB  - IM
MH  - Adult
MH  - Brazil
MH  - Cluster Analysis
MH  - Genotype
MH  - HIV Infections/*complications
MH  - Humans
MH  - Male
MH  - Phylogeny
MH  - Zika Virus/classification/genetics/*isolation & purification
MH  - Zika Virus Infection/*diagnosis/virology
OTO - NOTNLM
OT  - Arbovirus
OT  - Brazil
OT  - HIV
OT  - ZIKV
OT  - Zika
EDAT- 2015/11/30 06:00
MHDA- 2016/11/15 06:00
CRDT- 2015/11/30 06:00
PHST- 2015/08/18 [received]
PHST- 2015/10/27 [revised]
PHST- 2015/11/11 [accepted]
AID - S1386-6532(15)00748-9 [pii]
AID - 10.1016/j.jcv.2015.11.014 [doi]
PST - ppublish
SO  - J Clin Virol. 2016 Jan;74:1-3. doi: 10.1016/j.jcv.2015.11.014. Epub 2015 Nov 23.

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