Cited by 2,884Mosquito-borne diseases and controlInfectious Encephalopathies and EncephalitisVirology and Viral Diseases

Zika Virus Associated with Microcephaly

Open access
Mlakar, Jernej, Korva, Misa, Tul, Nataša, Popović, Mara, Poljšak-Prijatelj, Mateja, Mraz, Jerica, Kolenc, Marko, Resman Rus, Katarina +6 more·2016·New England Journal of Medicine

Abstract

A widespread epidemic of Zika virus (ZIKV) infection was reported in 2015 in South and Central America and the Caribbean. A major concern associated with this infection is the apparent increased incidence of microcephaly in fetuses born to mothers infected with ZIKV. In this report, we describe the case of an expectant mother who had a febrile illness with rash at the end of the first trimester of pregnancy while she was living in Brazil. Ultrasonography performed at 29 weeks of gestation revealed microcephaly with calcifications in the fetal brain and placenta. After the mother requested termination of the pregnancy, a fetal autopsy was performed. Micrencephaly (an abnormally small brain) was observed, with almost complete agyria, hydrocephalus, and multifocal dystrophic calcifications in the cortex and subcortical white matter, with associated cortical displacement and mild focal inflammation. ZIKV was found in the fetal brain tissue on reverse-transcriptase-polymerase-chain-reaction (RT-PCR) assay, with consistent findings on electron microscopy. The complete genome of ZIKV was recovered from the fetal brain.

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Crossref · 10.1056/nejmoa1600651

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18 of 18 references verified0 citation errors · 0 not checkable

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  • Zika viral infection during pregnancy can cause microcephaly including severe structural damage to the prefrontal areas.

    “Zika viral infection during pregnancy can cause microcephaly including severe structural damage to the prefrontal areas [338–340].”

    From Development of prefrontal cortex (2022) · cites this paper as [338]

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Authors
Mlakar, J., Korva, M., Tul, N., Popović, M., Poljšak-Prijatelj, M., Mraz, J., Kolenc, M., Resman Rus, K., Vesnaver Vipotnik, T., Fabjan Vodušek, V., Vizjak, A., Pižem, J., Petrovec, M., & Avšič Županc, T.
Affiliations
University of Ljubljana (SI)
Venue
New England Journal of Medicine
Published
2016-03-10
Volume
374
Issue
10
Pages
951-958
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2289704315
Cited by
2,884
References
18
Citations by year
2026: 64 · 2025: 73 · 2024: 115 · 2023: 125 · 2022: 154 · 2021: 213 · 2020: 249 · 2019: 287 · 2018: 323 · 2017: 493 · 2016: 591 · 2015: 40 · 2014: 30 · 2013: 38 · 2012: 54
FWCI
559.97
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
  • Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
  • Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
Keywords
Zika virus, microcephaly, congenital Zika syndrome, agenesis of the corpus callosum, hydrocephalus, pregnancy, maternal infection, fetal autopsy, viral genome recovery, Zika virus epidemic
MeSH terms
Abortion, Therapeutic, Zika Virus Infection, Zika Virus, Adult, Brain, Female, Fetal Diseases, Humans, Microcephaly, Phylogeny, Pregnancy, Pregnancy Trimester, Third, Ultrasonography, Prenatal, Genome, Viral, Infectious Disease Transmission, Vertical, Reverse Transcriptase Polymerase Chain Reaction

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