Zika Virus: Cutaneous Manifestations in 3 Patients

Zika virus infection should be suspected in travelers or immigrants with the signs or symptoms of a viral infection (rash, fever, joint pains, conjunctivitis, headache, etc.) and a compatible epidemiological history. Although cutaneous manifestations are among the most common clinical signs of Zika,...

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Bibliographic Details
Published in:Actas dermo-sifiliográficas (English ed.) 2018-04, Vol.109 (3), p.e13-e16
Main Authors: Cosano-Quero, A., Velasco-Tirado, V., Seco, M.P. Sánchez, Manzanedo-Bueno, L., Belhassen-García, M.
Format: Article
Language:English
Subjects:
Adult
Dermatosis
Enfermedades importadas
Exantema
Female
Humans
Imported diseases
Male
Middle Aged
Piel
Rash
Skin
Skin Diseases, Infectious - virology
Travelers
Viajeros
Virus Zika
Zika virus
Zika Virus Infection - complications
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Summary:Zika virus infection should be suspected in travelers or immigrants with the signs or symptoms of a viral infection (rash, fever, joint pains, conjunctivitis, headache, etc.) and a compatible epidemiological history. Although cutaneous manifestations are among the most common clinical signs of Zika, they are not specific and very few images are available. We present 3 patients (2 travelers and 1 immigrant) in whom a rash was the presenting manifestation of Zika virus infection. Prompt diagnosis optimizes outcomes in these patients, improves the management of severe disease, and minimizes the risk of local transmission by Aedes albopictus, now a potential local vector for the virus due to its presence in areas along Spain's Mediterranean coast. La infección por el virus Zika debe sospecharse en viajeros o inmigrantes con clínica de viriasis (exantema, fiebre, artralgias, artritis, conjuntivitis, cefalea, etc.) y una historia epidemiológica compatible. Aunque las manifestaciones cutáneas se encuentran entre las más frecuentes no son específicas y su iconografía es escasa. Presentamos 3 casos, 2 viajeros y un inmigrante que comienzan con un exantema por virus Zika. Alcanzar el diagnóstico de forma rápida optimiza el manejo de estos pacientes, mejora el control de los casos graves y permite minimizar una posible transmisión autóctona dado el riesgo que supone la presencia del Aedes albopictus como potencial vector transmisor de esta enfermedad en el litoral mediterráneo español.
ISSN:1578-2190
1578-2190
2173-5778
DOI:10.1016/j.adengl.2018.02.015