Is There More to Zika? Complex Cardiac Disease in a Case of Congenital Zika Syndrome

被引:12
作者
Angelidou, Asimenia [1 ,2 ]
Michael, Zoe [2 ,3 ]
Hotz, Arda [2 ,4 ]
Friedman, Kevin [2 ,5 ]
Emani, Sitaram [2 ,6 ]
LaRovere, Kerri [2 ,7 ]
Christou, Helen [1 ,2 ,3 ]
机构
[1] Boston Childrens Hosp, Div Newborn Med, 300 Longwood Ave,Enders 9, Boston, MA 02115 USA
[2] Harvard Med Sch, Boston, MA USA
[3] Brigham & Womens Hosp, Dept Pediat Newborn Med, Boston, MA 02115 USA
[4] Boston Childrens Hosp, Dept Med, Boston, MA 02115 USA
[5] Boston Childrens Hosp, Dept Cardiol, Boston, MA 02115 USA
[6] Boston Childrens Hosp, Dept Cardiovasc Surg, Boston, MA 02115 USA
[7] Boston Childrens Hosp, Dept Neurol, Boston, MA 02115 USA
关键词
Hypoplastic left heart syndrome; Microcephaly; Polymicrogyria; Staged palliation; Tropism; VIRUS-INFECTION; BIRTH-DEFECTS; INVOLVEMENT; OUTCOMES; INFANTS;
D O I
10.1159/000484656
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The epidemic of Zika virus (ZIKV) has resulted in a surge of newborns with microcephaly and brain abnormalities. In this report, we describe the first case, to our knowledge, of congenital Zika syndrome with concomitant critical congenital heart disease. The mother had a confirmed ZIKV infection in the first trimester of pregnancy. Fetal ultrasonography at 31 weeks of gestation revealed cerebral cortical calcifications and hypoplastic left heart syndrome. The severity of brain involvement was assessed by postnatal magnetic resonance imaging and echocardiogram, and palliative surgery was performed. The ethical dimensions of this infant's clinical management are discussed. ZIKV is known to affect neural progenitor cells, but whether it could have a tropism for other tissues remains unclear. (c) 2017 S. Karger AG, Basel
引用
收藏
页码:177 / 182
页数:6
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