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著者: Rafael Mello Galliez, Mariana Spitz, Patricia Piazza Rafful, Marcelo Cagy, Claudia Escosteguy, Caroline Spósito Brito Germano, Elisa Sasse, Alessandro Luis Gonçalves, Paola Paz Silveira, Paula Pezzuto, Alice Maria de Magalhães Ornelas, Amilcar Tanuri, Renato Santana Aguiar, Fernanda Tovar Moll
雑誌名: Open Forum Infect Dis. 2016 Oct;3(4):ofw203. doi: 10.1093/ofid/ofw203. Epub 2016 Oct 3.
Abstract/Text
Brazil has experienced a Zika virus (ZIKV) outbreak with increased incidence of congenital malformations and neurological manifestations. We describe a case of a 26-year-old Brazilian Caucasian man infected with ZIKV and diagnosed with encephalomyelitis. Brain and spinal cord images showed hyperintense lesions on T2 and fluid-attenuated inversion recovery (FLAIR), and levels of proinflammatory cytokines in the cerebrospinal fluid showed a remarkable increase of interleukin (IL)-6 and IL-8. The observed pattern suggests immune activation during the acute phase, along with the neurological impairment, with normalization in the recovery phase. This is the first longitudinal report of ZIKV infection causing encephalomyelitis with documented immune activation.
PMID 28053996 Open Forum Infect Dis. 2016 Oct;3(4):ofw203. doi: 10.1093/ofid/ofw203. Epub 2016 Oct 3.
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