Atrial fibrillation in a patient with Zika virus infection View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Ligia Fernandes Abdalla, João Hugo Abdalla Santos, Renata Teodora Jales Barreto, Erick Martins e Souza, Fabrício Fonseca D’Assunção, Márcio Aurélio Borges, Valdinete Alves Nascimento, George Allan Villarouco da Silva, Victor Costa de Souza, Rajendranath Ramasawmy, Ana Carolina Campi-Azevedo, Jordana Graziela Coelho-dos-Reis, Lis Ribeiro do Vale Antonelli, Andréa Teixeira-Carvalho, Olindo Assis Martins-Filho, Felipe Gomes Naveca

ABSTRACT

BACKGROUND: Zika virus is an emerging arbovirus of the family Flaviviridae and genus Flavivirus that until 2007 was restricted to a few cases of mild illness in Africa and Asia. CASE PRESENTATION: We report a case of atrial fibrillation disclosed during an acute Zika virus infection in a 49-year-old man. Different biological samples were analyzed for the molecular diagnosis of Zika by real-time PCR, however only the saliva specimen was positive. The patient's wife tested positive in the serum sample, although she was an asymptomatic carrier. Moreover, a complete overview of patient's biomarkers, including cytokines, chemokines, and growth-factors levels, was analyzed and compared to gender and age matching non-infected controls, as well as other Zika infected patients, considering the 95%CI of the mean values. Elevated levels of CXCL8, CCL11, CCL2, CXCL10, IL-1β, IL-6, TNF-α, IFN-γ, IL-17, IL-1Ra, IL-4, IL-9, FGF-basic, PDGF, G-CSF, and GM-CSF were observed in the Atrial fibrillation patient, in contrast to uninfected controls. Furthermore, increased levels of CCL5, IL-1β, TNF-α, IFN-γ, IL-9, G-CSF, and GM-CSF were observed only in the atrial fibrillation patient, when compared to other Zika patients. CONCLUSIONS: To our knowledge, this is the first description of this type of cardiac disorder in Zika patients which may be considered another atypical manifestation during Zika virus infection. More... »

PAGES

23

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12985-018-0938-2

DOI

http://dx.doi.org/10.1186/s12985-018-0938-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100623467

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29370812


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