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Colegio de Medicina Interna de México.

2021, Number 3

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Med Int Mex 2021; 37 (3)

Zika transmission due to work accident

Méndez-Delgado JF, Cordero-Zamora A, González-González E, Llamas-Ramos L, Cortés-González SI, Paredes-Casillas P

Language: Spanish
References: 24
Page: 424-429
PDF size: 201.90 Kb.


ABSTRACT

Background: The main mechanism of Zika transmission is through blood-sucking arthropod vectors. The Zika virus has been isolated from Aedes africanus, Aedes luteocephalus, Aedes vittatus, Aedes albopictus, Aedes furcifer and Aedes aegypti, the latter being the main vector in the American continent and in the current epidemic that began in Brazil in 2015.
Clinical case: A 25-year-old female patient, medical resident, who accidentally punctured her left hand with a needle containing cerebrospinal fluid from a hospitalized girl with virus encephalitis. Six days later patient started with a small nodule at the site of the lesion. Arthralgia, myalgia, fever of 38ºC, exanthema and conjunctivitis were added 30 days after. Zika diagnosis was confirmed with RT-PCR on both. The entomological study showed no evidence of the vector.
Conclusions: As we learn more about how the Zika virus is transmitted, strategies of biosafety must be present in health workers.


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