Zika Virus Infection and Stillbirths: A Case of Hydrops Fetalis, Hydranencephaly and Fetal Demise
Publication Date
February 25, 2016
Journal
PLOS Neglected Tropical Diseases
Authors
Manoel Sarno, Gielson A. Sacramento, Ricardo Khouri, Mateus S. Do Rosário, et al
Volume
10
Issue
2
Pages
e0004517
DOI
https://dx.plos.org/10.1371/journal.pntd.0004517
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0004517
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/26914330
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4767410
Europe PMC
http://europepmc.org/abstract/MED/26914330
Web of Science
000372567300081
Scopus
84959270477
Mendeley
http://www.mendeley.com/research/zika-virus-infection-stillbirths-case-hydrops-fetalis-hydranencephaly-fetal-demise
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{"title"=>"Zika Virus Infection and Stillbirths: A Case of Hydrops Fetalis, Hydranencephaly and Fetal Demise", "type"=>"journal", "authors"=>[{"first_name"=>"Manoel", "last_name"=>"Sarno", "scopus_author_id"=>"56119695500"}, {"first_name"=>"Gielson A.", "last_name"=>"Sacramento", "scopus_author_id"=>"57144485300"}, {"first_name"=>"Ricardo", "last_name"=>"Khouri", "scopus_author_id"=>"26221302500"}, {"first_name"=>"Mateus S.", "last_name"=>"do Rosário", "scopus_author_id"=>"57144103000"}, {"first_name"=>"Federico", "last_name"=>"Costa", "scopus_author_id"=>"55378617300"}, {"first_name"=>"Gracinda", "last_name"=>"Archanjo", "scopus_author_id"=>"57144634900"}, {"first_name"=>"Luciane A.", "last_name"=>"Santos", "scopus_author_id"=>"16744491700"}, {"first_name"=>"Nivison", "last_name"=>"Nery", "scopus_author_id"=>"57086829100"}, {"first_name"=>"Nikos", "last_name"=>"Vasilakis", "scopus_author_id"=>"15830441600"}, {"first_name"=>"Albert I.", "last_name"=>"Ko", "scopus_author_id"=>"7007018347"}, {"first_name"=>"Antonio R.P.", "last_name"=>"de Almeida", "scopus_author_id"=>"57143698300"}], "year"=>2016, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"scopus"=>"2-s2.0-84959270477", "sgr"=>"84959270477", "doi"=>"10.1371/journal.pntd.0004517", "pui"=>"608697937", "pmid"=>"26914330", "isbn"=>"1935-2735 (Electronic) 1935-2727 (Linking)", "issn"=>"19352735"}, "id"=>"4f11cf7e-7fae-3bfc-bcf9-df98ad86c825", "abstract"=>"BACKGROUND: The rapid spread of Zika virus in the Americas and current outbreak of microcephaly in Brazil has raised attention to the possible deleterious effects that the virus may have on fetuses.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: We report a case of a 20-year-old pregnant woman who was referred to our service after a large Zika virus outbreak in the city of Salvador, Brazil with an ultrasound examination that showed intrauterine growth retardation of the fetus at the 18th gestational week. Ultrasound examinations in the 2nd and 3rd trimesters demonstrated severe microcephaly, hydranencephaly, intracranial calcifications and destructive lesions of posterior fossa, in addition to hydrothorax, ascites and subcutaneous edema. An induced labor was performed at the 32nd gestational week due to fetal demise and delivered a female fetus. ZIKV-specific real-time polymerase chain reaction amplification products were obtained from extracts of cerebral cortex, medulla oblongata and cerebrospinal and amniotic fluid, while extracts of heart, lung, liver, vitreous body of the eye and placenta did not yield detectable products.\\n\\nCONCLUSIONS/SIGNIFICANCE: This case report provides evidence that in addition to microcephaly, there may be a link between Zika virus infection and hydrops fetalis and fetal demise. Given the recent spread of the virus, systematic investigation of spontaneous abortions and stillbirths may be warranted to evaluate the risk that ZIKV infection imparts on these outcomes.", "link"=>"http://www.mendeley.com/research/zika-virus-infection-stillbirths-case-hydrops-fetalis-hydranencephaly-fetal-demise", "reader_count"=>312, "reader_count_by_academic_status"=>{"Unspecified"=>6, "Professor > Associate Professor"=>15, "Librarian"=>7, "Researcher"=>57, "Student > Doctoral Student"=>17, "Student > Ph. D. Student"=>41, "Student > Postgraduate"=>20, "Student > Master"=>55, "Other"=>19, "Student > Bachelor"=>54, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>16}, "reader_count_by_user_role"=>{"Unspecified"=>6, "Professor > Associate Professor"=>15, "Librarian"=>7, "Researcher"=>57, "Student > Doctoral Student"=>17, "Student > Ph. D. 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  • {"files"=>["https://ndownloader.figshare.com/files/4739371"], "description"=>"<p><b>Axial ultrasound views of the fetus at the 30<sup>th</sup> gestational week showing (A) Cranium with severe microcephaly (215mm) and hydranencephaly; (B) Posterior fossa with destruction of the cerebellar vermis (wide arrow) and nuchal edema (thin arrow); (C) Thorax with bilateral pleural effusions (arrow); and (D) Abdomen with ascites (wide arrow) and subcutaneous edema (thin arrow).</b></p>", "links"=>[], "tags"=>["fetus", "microcephaly", "polymerase chain reaction amplification products", "spread", "Zika virus infection", "growth retardation", "intracranial calcifications", "extract", "medulla oblongata", "Ultrasound examinations", "Zika virus outbreak", "subcutaneous edema", "Hydrops Fetalis", "Zika virus", "Fetal Demise BackgroundThe", "ZIKV infection", "3 rd trimesters", "hydrops fetalis", "vitreous body", "Zika Virus Infection", "ultrasound examination", "demise"], "article_id"=>3036394, "categories"=>["Medicine", "Microbiology", "Cell Biology", "Molecular Biology", "Biotechnology", "Mathematical Sciences not elsewhere classified", "Cancer", "Infectious Diseases", "Virology"], "users"=>["Manoel Sarno", "Gielson A. Sacramento", "Ricardo Khouri", "Mateus S. do Rosário", "Federico Costa", "Gracinda Archanjo", "Luciane A. Santos", "Nivison Nery Jr.", "Nikos Vasilakis", "Albert I. Ko", "Antonio R. P. de Almeida"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0004517.g001", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Zika_Virus_Infection_and_Stillbirths_A_Case_of_Hydrops_Fetalis_Hydranencephaly_and_Fetal_Demise_Fig_1/3036394", "title"=>"Zika Virus Infection and Stillbirths: A Case of Hydrops Fetalis, Hydranencephaly and Fetal Demise - Fig 1", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2016-02-25 11:26:21"}

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Relative Metric

{"start_date"=>"2016-01-01T00:00:00Z", "end_date"=>"2016-12-31T00:00:00Z", "subject_areas"=>[]}
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