AI Article Synopsis

  • Since May 2015, Brazil has seen local transmission of the Zika virus (ZIKV), complicating the diagnosis and treatment of patients with fever due to concurrent Dengue and Chikungunya infections.
  • A report has documented the first confirmed case of ZIKV infection in an HIV-positive patient in Rio de Janeiro, who experienced only mild symptoms and recovered well.
  • Phylogenetic analysis showed that the ZIKV strain from this patient belongs to the Asian clade, marking a significant occurrence of co-infection in someone living with HIV.

Article Abstract

Since May 2015, Brazil's Ministry of Health has reported autochthonous transmission of Zika virus (ZIKV) in some states of the country. Simultaneous circulation of Dengue, Chikungunya and ZIKV in the country hinder both the diagnosis and the therapeutic approach of patients seeking care with acute febrile illnesses especially in patients with comorbidities. The association between HIV infection and endemic diseases has been described especially in tropical regions with varying levels of complications, although there has been no report of ZIKV in HIV-infected patients. We report the first autochthonous case of laboratory confirmed ZIKV infection in a HIV-infected patient in Rio de Janeiro, Brazil. He evolved with only mild symptoms and recovered well without major laboratory abnormalities. Phylogenetic analysis of the ZIKV detected in the patient sera clustered within the Asian clade. To the best of our knowledge, this is the first time that Zika virus co-infection is reported in a HIV-infected patient.

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http://dx.doi.org/10.1016/j.jcv.2015.11.014DOI Listing

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