Zika Virus Associated with Microcephaly
Open accessAbstract
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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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
- Publisher
- Massachusetts Medical Society
- 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
- bronze
- doi.org
- 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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