A letter to the editor in the NEJM discusses
the ability of Zika to transmit in a nonsexual manner and lead to a fatal Zika
virus infection. Looking at two patients who passed away in a hospital in Salt
Lake City supports this claim.
A
73-year-old male traveled to a ZIKV area in Mexico and reported getting bitten
by a mosquito while there. Upon his return to the United States, he reported
having a number of symptoms such as fever, pharyngitis, and abdominal pain and
his lab reports later showed renal insufficiency and mild hypoglycemia. This
patient’s symptoms quickly worsened and on the 4th day of
hospitalization he passed away. Then, within a week, a 38-year-old male who had
visited the 78-year –old patient also went to the hospital and tested positive
for ZIKV. However, patient 2 never traveled to Mexico and Salt Lake City had no
found any ZIKV-mosquitos present in the surrounding area. Therefore, given that
he had not traveled to a ZIKV-infected area or had sexual intercourse with a partner
who had traveled to such area, it is highly speculated that he got the infection
from patient 1.
Therefore,
this author is stating that it is important to consider the other ways that
Zika might transmit amongst individuals. While Zika is typically known to only
be attained by a mosquito bite or sexual intercourse, these 2 cases suggest
otherwise and therefore health precautions should be taken when caring for
Zika-infected individuals, both by healthcare workers and family members.
Read article here: http://www.nejm.org/doi/pdf/10.1056/NEJMc1610613
--Jeanette Rios
1 comment:
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