An observational clinical case of Zika virus-associated neurological disease is associated with primary IgG response and enhanced TNF levels
Author(s) -
Edson Delatorre,
Milene Dias Miranda,
Diogo A. Tschoeke,
Patrícia Carvalho de Sequeira,
Simone Alves Sampaio,
Giselle Barbosa-Lima,
Yasmine Rangel Vieira,
Luciana Leomil,
Fernando A. Bozza,
José Cerbino-Neto,
Patrı́cia T. Bozza,
Rita Maria Ribeiro Nogueira,
Patrícia Brasil,
Fabiano L. Thompson,
Ana María Bispo de Filippis,
Thiago Moreno L. Souza
Publication year - 2018
Publication title -
journal of general virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 167
eISSN - 1465-2099
pISSN - 0022-1317
DOI - 10.1099/jgv.0.001080
Subject(s) - zika virus , biology , cerebrospinal fluid , flavivirus , virology , virus , neuropathology , titer , disease , immunology , saliva , pathology , medicine , neuroscience , biochemistry
Descriptive clinical data help to reveal factors that may provoke Zika virus (ZIKV) neuropathology. The case of a 24-year-old female with a ZIKV-associated severe acute neurological disorder was studied. The levels of ZIKV in the cerebrospinal fluid (CSF) were 50 times higher than the levels in other compartments. An acute anti-flavivirus IgG, together with enhanced TNF-alpha levels, may have contributed to ZIKV invasion in the CSF, whereas the unbiased genome sequencing [obtained by next-generation sequencing (NGS)] of the CSF revealed that no virus mutations were associated with the anatomic compartments (CSF, serum, saliva and urine).
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