Case Report: Acute Transverse Myelitis after Zika Virus Infection

被引:20
作者
Neri, Vanderson Carvalho [1 ]
Xavier, Maria Filomena [2 ]
Barros, Priscila Oliveira [3 ]
Bento, Cleonice Melo [3 ]
Marignier, Romain [4 ,5 ,6 ]
Alvarenga, Regina Papais [1 ,2 ]
机构
[1] Univ Fed Estado Rio de Janeiro, Dept Neurol, Rio De Janeiro, Brazil
[2] Hosp Fed Lagoa, Multiple Sclerosis Treatment Ctr, Rio De Janeiro, Brazil
[3] Univ Fed Estado Rio de Janeiro, Dept Microbiol & Parasitol, Rio De Janeiro, Brazil
[4] Hosp Civils Lyon, Hop Neurol PierreWertheimer, OFSEP, Serv Neurol A, Bron, France
[5] Hosp Civils Lyon, Hop Neurol PierreWertheimer, OFSEP, Eugene Devic EDMUS Fdn Multiple Sclerosis, Bron, France
[6] Univ Lyon, Univ Lyon 1, Lyon, France
关键词
GLYCOPROTEIN;
D O I
10.4269/ajtmh.17-0938
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We report here one case of Zika virus (ZIKV) infection associated with auto-immunity directed against the central nervous system in a Brazilian woman who developed acute transverse myelitis 9 days after recovery from an acute episode of fever with generalized erythema. Imaging of the spinal cord showed an elongated area on the T1-T10 level with gadolinium uptake. The diagnostic of the ZIKV infection was confirmed by cerebrospinal fluid and serum analysis. This patient had serum positivity for autoantibodies against myelin oligodendrocyte glycoprotein (MOG), a specific antibody against the myelin sheath. We propose that a direct central nervous system infection by ZIKV could lead to a specific auto-immunity against MOG protein.
引用
收藏
页码:1419 / 1421
页数:3
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