2017
DOI: 10.1001/jamaneurol.2017.1471
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The Expanding Spectrum of Zika Virus Infections of the Nervous System

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Cited by 13 publications
(20 citation statements)
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“…The demonstration that the infection yields increased levels of IgG4 during pregnancy is relevant since IgG4 autoimmune antibodies against different antigens are found in various autoimmune diseases and neurological disorders, including GBS ( 33 , 34 ). Although the disease mechanism of GBS after ZIKV infection may be very different than in GBS after other infections, our study shows an increase in total ganglioside and anti-GD3 antibodies in Zika patients and points out that it may be related to the broad neuropathy associated with the disease ( 35 ).…”
Section: Discussionmentioning
confidence: 57%
“…The demonstration that the infection yields increased levels of IgG4 during pregnancy is relevant since IgG4 autoimmune antibodies against different antigens are found in various autoimmune diseases and neurological disorders, including GBS ( 33 , 34 ). Although the disease mechanism of GBS after ZIKV infection may be very different than in GBS after other infections, our study shows an increase in total ganglioside and anti-GD3 antibodies in Zika patients and points out that it may be related to the broad neuropathy associated with the disease ( 35 ).…”
Section: Discussionmentioning
confidence: 57%
“…CNS infections related to ZIKV have been described, and not only in foetuses [4], [6], [25]. In Brazil, a single case of encephalitis was described in an 8-year-old child with ZIKV infection and reactivation of varicella zoster virus.…”
Section: Flaviviruses As Aetiologic Agents Of Cns Infectionsmentioning
confidence: 99%
“…Serology for the detection of virus-specific IgM in CSF is used as an adjunct method [10]. Serology is commonly used to diagnose viruses in the CNS, including flaviviruses, because virus-specific IgM in CSF shows intrathecal synthesis and is considered to reflect viral target antigens within the CNS, as IgM does not cross the blood–brain barrier [4], [33].…”
Section: Laboratory Diagnosismentioning
confidence: 99%
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“…For that reason, men diagnosed with ZIKV infection should avoid attempting conception for at least six months and keep systematic use of condoms in all sexual intercourses in this period. The high rate of asymptomatic infection following ZIKV infection, estimated in 80% of infected individuals [ 116 ], leads to a gross underestimation of the risk for sexual transmission.…”
Section: Interactions Of Zikv In the Male Reproductive Tractmentioning
confidence: 99%