Zika Virus Infection in Tourists Travelling to Thailand : Case Series Report
Romaní, Natàlia (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Frick, Marie Antoinette (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Sulleiro Igual, Elena (Hospital Universitari Vall d'Hebron)
Rodó, Carlota (Hospital Universitari Vall d'Hebron)
Espiau, María (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Pou, Diana (Hospital Universitari Vall d'Hebron)
Silgado, Aroa (Hospital Universitari Vall d'Hebron)
Suy, Anna (Hospital Universitari Vall d'Hebron)
Pumarola Suñé, Tomàs (Hospital Universitari Vall d'Hebron)
Soler-Palacín, Pere (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Soriano-Arandes, Antoni (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	Thailand is a popular tourist destination where Zika virus (ZIKV) transmission is currently active. To our knowledge, there are no reports of ZIKV infection imported from Thailand and affecting children. Here, we describe the clinical and microbiological findings in three cases of vector-borne ZIKV infection: An 11-year-old boy, a 2-year-old girl, and her pregnant mother, this last case leading to the prenatal exposure of her second baby to ZIKV in the second trimester of pregnancy. All patients were diagnosed after traveling to Thailand between September 2019 and January 2020. No complications were detected in any patient at follow-up, and the prenatally exposed fetus showed no abnormalities during intensive antenatal health care monitoring. On postnatal study, there were no clinical signs or microbiological findings of mother-to-child ZIKV transmission. ZIKV IgG was initially positive, but seroreversion occurred at 4 months of life. This report describes the clinical and serological evolution of vector-borne ZIKV infection occurring in dengue-naïve tourists returning from Thailand. The World Health Organization currently recommends that pre-travel advice to prevent arbovirus infection should be maintained in travelers to Southeast Asia.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Zika virus ; Zika virus infection ; Mosquito-borne disease ; Travel ; Travel-associated ; Children ; Neonate ; Mother-to-child transmission ; Thailand
Publicat a:	Tropical medicine and infectious disease, Vol. 6 (december 2020) , ISSN 2414-6366

DOI: 10.3390/tropicalmed6010003
PMID: 33379281

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