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J Travel Med. 2015 Sep-Oct;22(5):338-40. doi: 10.1111/jtm.12208. Epub 2015 May 21.

Zika Virus in an American Recreational Traveler.

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Traveler's Medical Service of New York, New York, NY, USA.
School of Nursing, Columbia University, New York, NY, USA.
Department of Medicine, Weill Cornell Medical College and The New York-Presbyterian Hospital, New York, NY, USA.


We report the case of a 48-year-old American traveler who presented to our clinic with diffuse rash, malaise, fatigue, fever, arthralgia, low back pain, and bilateral exudative conjunctivitis. The patient had an extensive vaccination and travel history: most notable for prior receipt of yellow fever vaccine; extensive travel or residence in areas endemic for dengue, chikungunya, and West Nile virus; and recent travel to French Polynesia. Clinical and laboratory findings were consistent with Zika virus (ZIKV) infection. Our report highlights the need to include ZIKV in the differential diagnosis, especially in febrile patients with a rash returning from endemic areas.

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