{"id":919,"date":"2024-10-08T12:42:48","date_gmt":"2024-10-08T12:42:48","guid":{"rendered":"https:\/\/dymmedicalclinic.id\/en\/?post_type=opd&#038;p=919"},"modified":"2024-10-08T12:42:48","modified_gmt":"2024-10-08T12:42:48","slug":"zika-virus-infection","status":"publish","type":"opd","link":"https:\/\/dymmedicalclinic.id\/en\/opd\/disease\/zika-virus-infection\/","title":{"rendered":"Commentary on Zika virus infection&#8217;s Symptoms, Causes, and Treatment"},"content":{"rendered":"<style>\n.dim{\n\tfont-size: 24px;\n\tmargin: 50px 0 0px;\n\tbackground-color: #4cb5a0;\n\tcolor: #FFFFFF;\n\tborder-top: none;\n\tpadding-top: 0 !important;\n\tpadding: 10px 15px !important;\n}\n.usp {\nfont-size: 16px;\nline-height: 1.5;\nmargin-bottom: 20px;\n}<\/p>\n<p>.underline_02 {\n\/*background:linear-gradient(transparent 85%, #f4d20c 0%);\npadding: 0 0 10px 0;*\/<\/p>\n<p>border-bottom: solid 5px #f4d20c;\npadding: 0 0 6px 0;\n}\n.asxxs {\nbackground:linear-gradient(transparent 50%, rgba(246, 185, 104, 0.5) 50%);<\/p>\n<p>}<\/p>\n<p>.zvxb {\npadding: 0.5em 1em;\nmargin: 2em 0;\nfont-weight: bold;\ncolor: #6091d3;\nbackground: #FFF;\nborder: solid 3px #6091d3;\nborder-radius: 10px;\n}\n.zvxb p {\nmargin: 0; \npadding: 0;\n}\n    .exam_datalist dt{\n        color: #4cb39d;\n        margin-top: 2.3em;\n        font-weight: normal;\n    }\n    .exam_datalist dd {\n        margin: .7em 0;\n        line-height: 1.8em;\n    }\n    .exam_datalist a {\n        text-decoration: underline;\n        color: #4cb5a0;\n    }\n    .exam_images {\n        gap: 2em;\n        margin-top: 1em;\n    }\n    @media screen and (min-width: 1367px) {\n        p.text_margin {\n            margin-bottom: 0 !important;\n        }\n    }\n    @media screen and (max-width: 1366px) {\n        .exam_datalist dt:first-child {\n            margin: 0;\n        }\n        .exam_images {\n            flex-direction: column !important;\n        }\n    }<\/p>\n<p>#doctor .doctorbox{\n\tdisplay: flex;\n\tflex-wrap: wrap;\n\tjustify-content: flex-start;\n\tcolumn-gap: 2%;\n}\n#doctor .doctorbox .doctorpart{\n\twidth: 48%;\n\tmargin-bottom: 40px;\n\tdisplay: flex;\n\tjustify-content: space-between;\n\talign-items: center;\n}\n#doctor .doctorbox .doctorpart img{\n\twidth: 37%;\n}\n#doctor .doctorbox .doctorpart .text{\n\twidth: 60%;\n}\n#doctor .doctorbox .doctorpart .text .name{\n\tline-height: 1.5;\n\tfont-size: 15px;\n\tfont-weight: bold;\n\tmargin-bottom: 20px;\n}\n#doctor .doctorbox .doctorpart .text .detail li{\n\tpadding-left: 1em;\n\tborder-left: 4px solid #50b3a0;\n\tmargin-bottom: 7px;\n\tfont-size: 12px;\n}\n@media screen and (max-width: 768px){\n\t#doctor .doctorbox .doctorpart{\n\t\twidth: 100%;\n\t}\n\t#doctor .doctorbox .doctorpart img{\n\t\twidth: 32%;\n\t}\n\t#doctor .doctorbox .doctorpart .text{\n\t\twidth: 65%;\n\t}\n\t#doctor .doctorbox .doctorpart .text .name{\n\t\tfont-size: 14px;\n\t\tmargin-bottom: 15px;\n\t}\n}<\/p>\n<\/style>\n<link rel=\"stylesheet\" href=\"https:\/\/dymmedicalclinic.id\/wp-content\/themes\/clinic\/style\/css\/pages\/department-test.css?v=20240717070928\">\n<div class=\"dim\">About Zika Virus<\/div>\n<p><span class=\"usp\" ><br \/>\nZika virus (ZIKV) infection, also known as zika fever, is a disease caused by flavivirus spread through the bite of an infected mosquito from the aedes genus. It is the same mosquito which transmits dengue, chikungunya, and yellow fever. Person-to-person contact (e.g., sexual contact), blood transfusions, organ transplants, and maternal-fetal vertical transmission can also spread infection. In most cases, Zika infection causes a mild, self-limiting disease. Today, zika virus infections have piqued the interest of the international medical community, owing to their role in causing microcephaly (a baby\u2019s head is significantly smaller than expected for the baby\u2019s age) and other neurological abnormalities caused by maternal infections. <\/p>\n<p><\/span><\/p>\n<div class=\"dim\">Prevalence <\/div>\n<p><span class=\"usp\" ><br \/>\nThe Zika virus was initially isolated from a rhesus monkey in Uganda in 1947. The first report of human infection happened in 1954 in Nigeria. Until 2007, Zika virus infections were mostly thought to have limited geographical distribution. However, subsequent outbreaks of infection in Pacific islands and South America, along with reports that the virus could cause nervous system abnormalities in newborns, piqued the interest of a wide range of scientists. Zika transmission continues in various countries, however it has remained at low levels from 2018 until the present. Currently, the World Health Organization reported that a total of 92 cases with current or previous Zika Virus transmission throughout five of the six WHO Regions (all except the Eastern Mediterranean Region) as of May 2024. In this report, the South East Asian Region consists of Bangladesh, India, Indonesia, Maldives, Myanmar, Sri Lanka, and Thailand with a total of 7 regions.<br \/>\n<\/span><\/p>\n<section id=\"exam\">\n<div class=\"dim\">Symptoms<\/div>\n<p><span class=\"usp\" ><br \/>\nThe majority of persons who contract the Zika virus experience mild and self-limiting symptoms. The estimated incubation period for Zika disease caused by a mosquito bite ranges from 2 to 14 days. Symptomatic infections typically present with:<br \/>\n<\/span><\/p>\n<div style=\" padding: 1.5em 1em; margin: 2em 0; color: #000000; background: #FFF; border: solid 3px #4E1C80; border-radius: 30px; font-size: 16px; line-height: 1.5;\"><!--font-weight: bold;--><span style=\"margin: 0; padding: 0;\" >\u25cf <b class=\"asxxs\">Rash (90% or more) spread from the face to the limbs<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Eye redness (55% to 82%)<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Fever (65% to 80%) usually mild and brief<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Headache (45% to 80%)<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Other common symptoms like arthralgia (65% to 70%), myalgia (48% to 65%), and retro-orbital pain (39% to 48%).  <\/b><br \/>\n<\/span>\n<\/div>\n<p><span class=\"usp\" ><br \/>\nIn places with dengue fever and chikungunya, which share many symptoms and indications, It can be difficult to precisely diagnose the etiology. However, eye redness and skin rash are more common in Zika virus infections than in dengue fever or Chikungunya. Some also suggest that Zika fever can be differentiated from dengue fever and Chinkungunya by more evident extremity edema (fluid trapped in body\u2019s tissue), less severe headache and malaise, and a lesser degree of low thrombocyte in the former.<br \/>\n<\/span><br \/>\n<\/section>\n<div class=\"dim\">Zika fever vs Dengue vs Chikungunya<\/div>\n<p><span class=\"usp\" ><\/p>\n<div class=\"scroll\">\n    <img decoding=\"async\" src=\"https:\/\/dymmedicalclinic.id\/wp-content\/uploads\/2024\/07\/scroll.png\" alt class=\"sp hold\"><\/p>\n<table class=\"second_table\">\n<thead>\n<tr>\n<th style=\"width: calc(100%\/4);\" >Clinical signs <\/th>\n<th style=\"width: calc(100%\/4);\" >Zika fever <\/th>\n<th style=\"width: calc(100%\/4);\" >Dengue<\/th>\n<th style=\"width: calc(100%\/4);\" >Chikungunya<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Fever (duration)<\/td>\n<td>\nNo fever or<br \/>\nsubfebrile<br \/>\ntemperature <38\u2103\n(1-2 days) \n<\/td>\n<td>\nOver 38\u2103<br \/>\n(4-7 days)\n<\/td>\n<td>\nOver 38\u2103<br \/>\n(2-3 days)\n<\/td>\n<\/tr>\n<tr>\n<td>Skin rash<\/td>\n<td>\nOn 1st and 2nd day<br \/>\nafter onset happens<br \/>\nin about 90% of cases\n<\/td>\n<td>\nOn 4th day after<br \/>\nonset (happens<br \/>\nin about 30-50%<br \/>\nof cases)\n<\/td>\n<td>\nOn 2nd and 5th<br \/>\nday after onset<br \/>\n(happens in<br \/>\nabout 50% of<br \/>\ncases)\n<\/td>\n<\/tr>\n<tr>\n<td>Muscle soreness<br \/>\n(Frequency)<\/td>\n<td>\n ++\/+++\n<\/td>\n<td>\n +++\/+++\n<\/td>\n<td>\n +\/+++\n<\/td>\n<\/tr>\n<tr>\n<td>Joint pain<br \/>\n(Frequency)<\/td>\n<td>\n ++\/+++\n<\/td>\n<td>\n +\/+++\n<\/td>\n<td>\n +++\/+++\n<\/td>\n<\/tr>\n<tr>\n<td>Joint pain<br \/>\n(Intensity)<\/td>\n<td>Mild\/Moderate<\/td>\n<td>Mild<\/td>\n<td>Moderate\/Severe<\/td>\n<\/tr>\n<tr>\n<td>Joint swelling<\/td>\n<td>Common, Mild<\/td>\n<td>Rare<\/td>\n<td>Common,<br \/>\nModerate-Severe<\/td>\n<\/tr>\n<tr>\n<td>Eye redness<\/td>\n<td>50-90% Cases<\/td>\n<td>Rare<\/td>\n<td>30% Cases<\/td>\n<\/tr>\n<tr>\n<td>Swollen Lymph<\/td>\n<td> +<\/td>\n<td> ++<\/td>\n<td> ++ <\/td>\n<\/tr>\n<tr>\n<td>Enlarged Liver<\/td>\n<td> &#8211; <\/td>\n<td> +++ <\/td>\n<td> &#8211; <\/td>\n<\/tr>\n<tr>\n<td>\nLow WBC or<br \/>\nThrombocytes\n<\/td>\n<td> -\/+<\/td>\n<td> +++ <\/td>\n<td> +++ <\/td>\n<\/tr>\n<tr>\n<td>Headache<\/td>\n<td> ++ <\/td>\n<td> +++ <\/td>\n<td> ++ <\/td>\n<\/tr>\n<tr>\n<td>Itchy <\/td>\n<td>Moderate\/Severe<\/td>\n<td>Mild<\/td>\n<td>Mild<\/td>\n<\/tr>\n<tr>\n<td>Neurological<br \/>\nSymptoms<\/td>\n<td>More Common<br \/>\nthan dengue and<br \/>\n Chikungunya<\/td>\n<td>Rare<\/td>\n<td>Rare (Most<br \/>\n common in<br \/>\n Newborn)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><\/span><\/p>\n<div class=\"dim\">Evaluation<\/div>\n<p><span class=\"usp\" ><br \/>\nZika virus infection may be suspected based on symptoms of people living in or visiting places with Zika virus transmission and\/or Aedes mosquito vector. The testing for ZIKV infection is based on the likelihood of exposure, symptoms, and pregnant status. Routine laboratory tests are usually normal, but moderate low white blood cell count, low thrombocytes, and increased liver function may be seen. The Zika virus infection can also be detected with PCR and antibodies. It is recommended for pregnant women who travel from Zika-infected areas and have 2 or more symptoms of ZIKV infection to have regular fetal ultrasound examination, which can be detected as early as 18-20 weeks of gestation.<br \/>\n<\/span><\/p>\n<div class=\"dim\">Complication<\/div>\n<p><span class=\"usp\" ><br \/>\nZIKV infection has been linked to Guillain-Barr\u00e9 Syndrome, as well as unfavorable pregnancy outcomes such as an increased risk of preterm birth, fetal mortality and stillbirth, and congenital deformities known as congenital Zika syndrome (CZS). Congenital Zika syndrome include<br \/>\n<\/span><\/p>\n<div style=\" padding: 1.5em 1em; margin: 2em 0; color: #000000; background: #FFF; border: solid 3px #4E1C80; border-radius: 30px; font-size: 16px; line-height: 1.5;\"><!--font-weight: bold;--><span style=\"margin: 0; padding: 0;\" >\u25cf <b class=\"asxxs\">Microcephaly<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Abnormal brain development<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Limb contractures<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Eye abnormalities<\/b><br \/>\n<br \/>\n\u25cf <b class=\"asxxs\">Brain calcifications<\/b><br \/>\n<\/span>\n<\/div>\n<div class=\"dim\">Treatment<\/div>\n<p><span class=\"usp\" ><br \/>\nThere are no particular treatments available for ZIKV infection. The disease&#8217;s course is typically self-limiting, and the primary treatment is bed rest and supportive care, which includes increased fluid intake to prevent dehydration and the administration of antipyretic to relieve temperature and analgesics.There is currently no vaccination or antiviral medication available for ZIKV. However, if dengue fever is suspected as the cause of the patient&#8217;s symptoms, aspirin and other nonsteroidal anti-inflammatory medicines should be avoided.<br \/>\n<\/span><\/p>\n<div class=\"dim\">Prevention<\/div>\n<p><span class=\"usp\" ><br \/>\nPreventive strategies include controlling the growth of the vector (Aedes mosquito), eliminating it, and preventing mosquito bites. The sexual mode of transmission can be avoided by using protection or abstaining from sexual intercourse. Mosquito bites can be prevented by wearing long-sleeved shirts and pants, using insect repellent, and being indoors as much as possible (with air conditioning, window\/door screens, and\/or mosquito nets). Aedes mosquitoes breed in stagnant water, thus eliminating stagnant water pools both inside and outside the homes, schools, and work sites and covering water storage containers should be prioritized. It is best to avoid going to areas with high zika virus infection cases but if you must visit such locations, you need to consult a doctor before traveling.<br \/>\n<\/span><\/p>\n<section id=\"doctor\">\n<h1>\u76e3\u4fee\u3057\u305f\u533b\u5e2b<\/h1>\n<ul class=\"doctorbox\">\n<li class=\"doctorpart\" style=\"margin-bottom: 0;\">\n        <img decoding=\"async\" src=\"https:\/\/dymmedicalclinic.id\/wp-content\/uploads\/2024\/09\/\u30a2\u30bb\u30c3\u30c8-27@2x-8.png\" alt=\"\"><\/p>\n<div class=\"text\">\n<div class=\"name\">\n            \u5185\u79d1<br \/>Dr.Thoe,Isabella Roseline P.P.\n        <\/div>\n<p><!--        \n\n<ul class=\"detail\">\n            \n\n<li>\u8a3a\u5bdf\u66dc\u65e5\uff1a\u706b\u66dc\u65e5\u304b\u3089\u571f\u66dc\u65e5<\/li>\n\n\n            \n\n<li>\u8a3a\u5bdf\u6642\u9593\uff1a8:00~18:00<\/li>\n\n\n            \n\n<li>\u8a00\u8a9e\uff1a\u30a4\u30f3\u30c9\u30cd\u30b7\u30a2\u8a9e\u30fb\u82f1\u8a9e<\/li>\n\n\n        <\/ul>\n\n-->\n        <\/div>\n<\/li>\n<\/ul>\n<\/section>\n<section class=\"yoyaku\" id=\"reserve\">\n<div class=\"title\">For Reservations and Inquiries<\/div>\n<div class=\"flex\">\n<div class=\"box\">\n<div class=\"text\"><span>\\<\/span>For After-Hours Matters, Please Click Here!<span>\/<\/span><\/div>\n<p>        <a href=\"https:\/\/api.whatsapp.com\/message\/BL6BW4ALMJK7E1\"><\/p>\n<div class=\"line_btn\">\n            Make an appointment via Whatsapp\n        <\/div>\n<p>        <\/a><\/p><\/div>\n<div class=\"box\">\n<div class=\"text\"><span>\\<\/span>For Urgent Matters During Clinic Hours, Please Click Here!<span>\/<span><\/div>\n<p>        <a href=\"tel:+62 21 8665 6830\"><\/p>\n<div class=\"tel_btn\">\n            +62 21 8665 6830\n        <\/div>\n<p>        <\/a>\n    <\/div>\n<\/p><\/div>\n<\/section>\n<div class=\"dim\">References:<\/div>\n<p><span class=\"usp\" ><br \/>\n1.Noorbakhsh F, Abdolmohammadi K, Fatahi Y, Dalili H, Rasoolinejad M, Rezaei F, et al. Zika virus infection, basic and clinical aspects: A review article. Iranian Journal of Public Health. 2019;48(1):20.<br \/>\n2.Zika virus [Internet]. Who.int. [cited 2024 Jul 5]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/zika-virus?gad_source=1&#038;gclid=Cj0KCQjws560BhCuARIsAHMqE0FAQVYBktJBreLlP7AIlC9lVFgGBUMS3hOZTo-7fW5rAlqzuUqkkWgaAmJnEALw_wcB<br \/>\n3.Zika epidemiology update &#8211; February 2022 [Internet]. Who.int. [cited 2024 Jul 5]. Available from: https:\/\/www.who.int\/publications\/m\/item\/zika-epidemiology-update&#8212;february-2022<br \/>\n4.Wolford RW, Schaefer TJ. Zika Virus. StatPearls Publishing; 2023.<br \/>\n5.Zika epidemiology update &#8211; May 2024 [Internet]. Who.int. [cited 2024 Jul 5]. Available from: https:\/\/www.who.int\/publications\/m\/item\/zika-epidemiology-update-may-2024<br \/>\n6.Rawal G, Yadav S, Kumar R. Zika virus: An overview. J Family Med Prim Care [Internet]. 2016 [cited 2024 Jul 5];5(3):523. Available from: http:\/\/dx.doi.org\/10.4103\/2249-4863.197256<br \/>\n7.Korzeniewski K, Juszczak D, Zwoli\u0144ska E. Zika \u2014 another threat on the epidemiological map of the world. Int Marit Health [Internet]. 2016;67(1):31\u20137. Available from: http:\/\/dx.doi.org\/10.5603\/imh.2016.0007<\/p>\n<p><\/span><\/p>\n","protected":false},"parent":914,"menu_order":0,"template":"","acf":[],"_links":{"self":[{"href":"https:\/\/dymmedicalclinic.id\/en\/wp-json\/wp\/v2\/opd\/919"}],"collection":[{"href":"https:\/\/dymmedicalclinic.id\/en\/wp-json\/wp\/v2\/opd"}],"about":[{"href":"https:\/\/dymmedicalclinic.id\/en\/wp-json\/wp\/v2\/types\/opd"}],"up":[{"embeddable":true,"href":"https:\/\/dymmedicalclinic.id\/en\/wp-json\/wp\/v2\/opd\/914"}],"wp:attachment":[{"href":"https:\/\/dymmedicalclinic.id\/en\/wp-json\/wp\/v2\/media?parent=919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}