Brazil is the country hit hardest by Zika, with thousands of cases of
microcephaly reported so far.
Among cases of
microcephaly reported in Colombia so far this year, four babies had laboratory evidence of a Zika virus infection.
Structural eye anomalies (in particular, microphthalmia and coloboma), cataracts, intraocular calcifications, and posterior ocular findings have been reported in infants with presumed and laboratory - confirmed prenatal ZIKV infection; however, posterior findings have been the most prevalent.21,25,28,33,35,36,41 - 43 Case series report chorioretinal atrophy, focal pigmentary mottling of the retina, and optic nerve atrophy / anomalies.28, 34,37,41 - 43,55 Series of 20 or more infants with presumed ZIKV - associated
microcephaly report ocular findings in 24 % to 55 %.28, 33,42 In one study, testing for ZIKV IgM was performed in 24 of 40 infants (60 %) with microcephaly and the results were positive in the cerebrospinal fluid in 100 % of those tested.42 The proportion of infants with ocular lesions did not differ in those with and without testing.42 In that series, first trimester maternal infection and smaller head circumference significantly correlated with the presence of abnormal ocular findings.42
Not exact matches
The agency said there have been recent variations in the number of cases
reported in the region and, while the level of risk is unknown, Zika virus infection during pregnancy causes severe birth defects, including
microcephaly and other severe brain abnormalities.
The number of babies born with
microcephaly in northeast Brazil, the country hardest hit by the Zika outbreak, has increased about 40-fold from baseline levels in the last six months, according to
reports from Brazil's Ministry of Health.
Menabde said currently 34 countries had
reported the Zika virus outbreak, mostly in the Americas and Caribbean, and seven
reported an increase in cases of
microcephaly.
Health officials on Friday
reported the first baby born in New York City with the Zika - related birth defect known as
microcephaly, a condition marked by an abnormally small head and impaired brain development.
A 2006 study of 77 pregnant women infected with West Nile virus
reported that two had infants with
microcephaly, the birth defect lately associated with Zika that results in unusually small and damaged brains.
In 2016, Colombia saw a surge in babies with
microcephaly — more than four times the number
reported in the previous year.
As we
report in a collection of stories, much remains unclear, including the relationship between Zika infection and
microcephaly and how best to combat the mosquitoes that spread the disease.
The news,
reported in the Morbidity and Mortality Weekly
Report (MMWR), may help resolve a puzzle: After Brazil, Colombia is the country that has been hardest hit by the mosquito - borne disease, yet it appeared to have far fewer
microcephaly cases per capita than its southern neighbor.
A far higher number of babies in Colombia have developed
microcephaly related to Zika virus infections than previously
reported.
In contrast, the latest World Health Organization (WHO) «situation
report,» with data current to 7 December, said that Colombia had only
reported 60 cases of
microcephaly or central nervous system malformations potentially linked to Zika.
Now, it is being deployed to monitor the Zika as it spreads beyond Brazil, where
reports last August of fetal deaths and newborns with brain disorders including
microcephaly, a devastating condition that results in abnormally small brains and heads, began to trickle in.
He said Colombian health authorities would have to address questions about the timing of their
reporting Zika - positive cases of
microcephaly to WHO.
Earlier this year, the country's tally of
microcephaly cases seemed smaller than expected, given the
reported rise in Zika infections.
Colombia's dramatic uptick in
microcephaly cases follows one
reported in Brazil, which, in 2015, experienced a ninefold increase in cases compared with the previous 14 years.
The new
report suggests that, as in Brazil, Zika virus bears blame for Colombia's
microcephaly epidemic too.
He continues, «There is a clear temporal association between the increased
reporting of cases of
microcephaly and of GBS and the Zika virus outbreak.
As of March 30, the CDC has
reported 312 cases of the Zika virus in the United States and heightened its efforts in response to Zika and the cases of
microcephaly and other neurological disorders associated with the virus.
Even as the Zika virus becomes more prevalent — the Centers for Disease Control
reports that the number of U.S. infants born with
microcephaly and other birth defects is 20 times over the normal rate — researchers are still trying to fully pin down the identifying consequences of the viral infection.
The research team
reported that evidence of
microcephaly and related skull abnormalities was present in 70 percent of the infants studied, though often it was subtle.
Although Brazil is the only country to
report a spike in
microcephaly during the current outbreak, French Polynesia in 2014 saw a rise in this rare disorder concurrent with viral spread, Chan said.
In another paper, published yesterday in Morbidity and Mortality Weekly
Report, researchers from Brazil and the United States report that Zika virus was present in brain tissue from two newborns in the Brazilian state of Rio Grande do Norte who were born with microcephaly and died a few hours after
Report, researchers from Brazil and the United States
report that Zika virus was present in brain tissue from two newborns in the Brazilian state of Rio Grande do Norte who were born with microcephaly and died a few hours after
report that Zika virus was present in brain tissue from two newborns in the Brazilian state of Rio Grande do Norte who were born with
microcephaly and died a few hours after birth.
Since October, Brazil has
reported more than 4,000 suspected cases of
microcephaly in areas with Zika circulation.
Although Zika infections typically cause only mild symptoms, concerns have been heightened by Brazil's
reports of an unusual increase in
microcephaly — unusually small head size — in babies born in areas where the virus is circulating.
The
report demonstrates phenotypic variability in regard to the presence of observed
microcephaly as well as the degree of brain damage and affected brain structures with congenital ZIKV infection.
This prospective study was conducted in Campina Grande, the second largest city in the state of Paraíba, which has
reported the second highest prevalence of
microcephaly at birth in Brazil.
In November, Brazilian researchers detected the Zika virus genome in amniotic fluid samples from two women whose fetuses were been diagnosed with
microcephaly by ultrasound exams, the Pan American Health Organization
reported.
In addition, the mechanism by which the ZIKV infection can cause fetal brain damage is not known, and some
reports suggest that the virus is able to evade the normal immunoprotective responses of the placenta.15 Zika virus is not the only pathogen associated with neonate
microcephaly.
In the recent case series, most infants with probable congenital ZIKV infection were noted to have craniofacial disproportion (95.8 %) and, to a lesser degree, biparietal depression (83.3 %), prominent occiput (75 %), and excess nuchal skin (47.9 %).38 Features supportive of the FBDS phenotype scattered through published
reports include redundant scalp, 27,36,39,41 occipital prominence and / or overlapping sutures,14,20,22 - 24, 26,27,38 and typical craniofacial appearance with disproportion.13, 27,33,34,40 The FBDS phenotype is also prevalent in ZIKV - related media.47 Among infants with severe
microcephaly, the pattern appears to be consistent, although the degree of cranial vault deformation varies.
The 3 largest case series of infants with
microcephaly also
reporting congenital contractures found that, among 35, 48, and 52 infants with
microcephaly and presumed congenital ZIKV infection, isolated clubfoot occurred in 14 %, 10.4 %, and 3.8 % and arthrogryposis in 11 %, 10.4 %, and 5.7 %, respectively.36 - 38 Among a series of 104 infants under clinical investigation, 7 (6.7 %) with presumed (5 infants) and laboratory - confirmed (2 infants) congenital ZIKV infection had arthrogryposis; 6 of these infants had a head circumference of at least 2 SD below the mean.41 All had bilateral congenital hip dislocation, which previously has been
reported to occur in 30 % to 40 % of children with arthrogryposis of various etiologies and 3 of 7 had dislocation or partial dislocation of 1 or both knees.41, 57
So far, Colombia has
reported 11 such cases of Zika - linked
microcephaly.
Contracted through the bite of an infected mosquito or through sexual or other modes of transmission, Zika virus (ZIKV) infection can be prenatally passed from mother to fetus.1 The virus was first identified in the region of the Americas in early 2015, when local transmission was
reported in Brazil.2 Six months later, a notable increase in the number of infants with congenital
microcephaly was observed in northeast Brazil.3, 4 Clinical, epidemiologic, and laboratory evidence led investigators to conclude that intrauterine ZIKV infection was a cause of
microcephaly and serious brain anomalies.5 - 7 However, as with other newly recognized teratogens, these features likely represent a portion of a broader spectrum.
In their follow up modelling study they
reported Zika virus infection during the first trimester of pregnancy led to higher than expected rates of
microcephaly.
The FBDS phenotype has been
reported in an infant with laboratory - confirmed ZIKV infection, 13 in a neuroimaging
report documenting cranial bone collapse in infants born to mothers with suspected ZIKV infection during pregnancy, 14 and a recent case series of infants with probable ZIKV - associated
microcephaly.38 In 3 of the largest case series
reporting 35, 48, and 104 infants primarily with suspected congenital ZIKV infection, 33,37,38 approximately two - thirds of infants had severe
microcephaly.
Addressing the Zika outbreaks has been a challenge for health officials, and since the first
microcephaly cases were
reported in Brazil last year, there has been a nationwide effort to find practical solutions to the growing threat of the virus.
We
report the integration of transcriptome sequencing (RNA - seq), which surveys all mRNAs to reveal functional impacts of variants at the transcription level, into the gene discovery framework for a unique human disease,
microcephaly - micromelia syndrome (MMS).
However, the Centers for Disease Control and Prevention
reports that if a pregnant woman contracts the virus, it can cause
microcephaly in fetuses, resulting in small heads and brain damage.
Loss of function mutations in CTNNB1 have been
reported in individuals with intellectual disability [MIM # 615075] associated with peripheral spasticity,
microcephaly and central hypotonia, suggesting a recognisable phenotype associated with haploinsufficiency for this gene.
Results: Here, we
report six patients with
microcephaly, facial dysmorphism, including exophthalmos, nevus flammeus of the glabella and joint contractures with a suspected BOS posture in five out of six patients.
Eighty - five percent of the fetuses or infants with potentially Zika - associated birth defects in this
report had brain abnormalities or
microcephaly, with most having both
microcephaly and specific brain abnormalities.
The included birth defects were based primarily on case
reports of outcomes occurring in association with Zika virus infection during pregnancy; there is more evidence for some of these birth defects than for others, and a causal link has not been established for all.5,10,12,21 - 27 Because much of the focus to date has been on
microcephaly and brain abnormalities, data were summarized in 2 mutually exclusive categories: (1) brain abnormalities with or without
microcephaly regardless of the presence of additional birth defects and (2) neural tube defects and other early brain malformations, eye abnormalities, and other consequences of central nervous system dysfunction among those without evident brain abnormalities or
microcephaly.
Since the Zika epidemic began last spring, it's believed there have been more than 5,600 suspected or confirmed cases of
microcephaly in Brazil, the World Health Organization
reported Friday.
Brazil has
reported the vast majority of cases of a Zika - linked birth defect called
microcephaly, which causes babies to be born with abnormally small heads and malformed brains.
«The emergence of Zika virus in the Americas has coincided with increased
reports of babies born with
microcephaly,» said study author Dr. Heron Werner Jr., of the radiology department at Rio de Janeiro's Clinica de Diagnostico por Imagem.
Eleven of these babies were diagnosed with
microcephaly — an abnormally small head and brain — and other neurologic complications associated with Zika syndrome, the researchers
reported.
On Wednesday, U.S. health officials
reported that traces of the Zika virus had been identified in the tissue of two babies who died in Brazil from
microcephaly.
Since evidence suggests that pregnant women with Zika but without symptoms can also have babies with
microcephaly, the agency will now
report all pregnant women with evidence of Zika virus.
Brazil, especially, has
reported the vast majority of cases of Zika - linked
microcephaly.