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Pathology. 2017 Dec;49(7):698-706. doi: 10.1016/j.pathol.2017.08.002. Epub 2017 Oct 16.

Zika virus: what, where from and where to?

Author information

1
Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, NSW Health Pathology, University of Sydney, Westmead Hospital, Westmead, NSW, Australia; Marie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Westmead Hospital, Westmead, NSW, Australia; Centre for Research Excellence in Critical Infections, University of Sydney, Westmead Hospital, Westmead, NSW, Australia. Electronic address: kerri.basile@health.nsw.gov.au.
2
Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, NSW Health Pathology, University of Sydney, Westmead Hospital, Westmead, NSW, Australia; Marie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Westmead Hospital, Westmead, NSW, Australia; Centre for Research Excellence in Critical Infections, University of Sydney, Westmead Hospital, Westmead, NSW, Australia.

Abstract

The significance of Zika virus as a clinically significant flavivirus has previously been under-recognised, until extensive outbreaks in Yap in 2007, French Polynesia in 2013 and the Americas since 2015. Although Zika virus infection is commonly asymptomatic or mild, emerging evidence suggests a strong link to microcephaly in babies and Guillain-Barré syndrome in adults. This article reviews the epidemiology, geographic distribution, basic virology, transmission, clinical presentation, potential complications, laboratory diagnosis, treatment and prevention of Zika virus infection. Education on mosquito avoidance measures and vector control efforts currently remain key to reducing risk of transmission, whilst further research is underway to develop antiviral therapies and vaccines.

KEYWORDS:

Aedes; Guillain–Barré syndrome; Zika virus; flavivirus; microcephaly

PMID:
29050846
DOI:
10.1016/j.pathol.2017.08.002
[Indexed for MEDLINE]

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