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Вирус Зика: новый фактор внутриутробного инфицирования плода
Вирус Зика: новый фактор внутриутробного инфицирования плода
Доброхотова Ю.Э., Боровкова Е.И. Вирус Зика: новый фактор внутриутробного инфицирования плода. Consilium Medicum. 2017; 19 (6): 57–61. DOI: 10.26442/2075-1753_19.6.57-61
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Аннотация
Инфекция, вызванная вирусом Зика, распространена в Африке, Юго-Восточной Азии и на островах Тихого океана, выявлены вспышки на американском континенте. Вирус Зика передается трансмиссивно через укус зараженного комара Aedes, доказаны вертикальный (трансплацентарный) и половой пути заражения. Клинические проявления Зика-вирусной инфекции развиваются у 20–25% людей и включают острое начало, субфебрилитет, пятнисто-папулезную сыпь, боль в суставах и конъюнктивит. Вирус Зика ассоциирован с врожденной микроцефалией, внутричерепными кальцификатами, антенатальной гибелью плода и развитием синдрома Гийена–Барре. Инкубационный период между укусом комара и началом клинических проявлений составляет от 2 до 14 дней, средняя продолжительность заболевания – 7 дней. Диагноз Зика-вирусной инфекции устанавливается с помощью полимеразной цепной реакции и серологического исследования крови. Для выявления внутриутробного инфицирования плода проводятся серии ультразвуковых исследований и диагностический амниоцентез. Не существует специфического лечения Зика-вирусной инфекции, и не разработана вакцина для ее профилактики.
Ключевые слова: вирус Зика, микроцефалия, внутричерепные кальцификаты, внутриутробная инфекция.
Key words: Zika virus, microcephaly, intracranial calcification, intrauterine infection.
Ключевые слова: вирус Зика, микроцефалия, внутричерепные кальцификаты, внутриутробная инфекция.
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Key words: Zika virus, microcephaly, intracranial calcification, intrauterine infection.
Полный текст
Список литературы
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27. Victora CG, Schuler-Faccini L, Matijasevich A et al. Microcephaly in Brazil: how to interpret reported numbers? Lancet 2016; 387: 621.
28. Villamil-Gómez WE, González-Camargo O, Rodriguez-Ayubi J et al. Dengue, chikungunya and Zika co-infection in a patient from Colombia. J Infect Public Health 2016; 9 (5): 684–6.
29. Vouga M, Musso D, van Mieghem T et al. CDC guidelines for pregnant women during the Zika virus outbreak. Lancet 2016; 387: 843–4.
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1/WHO_ZIKV_MOC_16.2_eng.pdf
31. World Health Organization. WHO Director-General briefs Executive Board on Zika situation. URL: http://www.who.int/dg/speeches/2016/zika-situation/en/
32. World Health Organization. WHO statement on the 2nd meeting of IHR Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations. URL: http://www.who.int/mediacentre/news/statements/2016/2nd-emergency-committee-zika/en/
2. Calvet G, Aguiar RS, Melo AS et al. Detection and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study. Lancet Infect Dis 2016; 16 (6): 653–60.
3. Cauchemez, S, Besnard M, Bompard P et al. Association between Zika virus and microcephaly in French Polynesia, 2013–15: a retrospective study. Lancet 2016; 387: 2125–32.
4. Centers for Disease Control and Prevention. Emergency Preparedness and Response: Recognizing, Managing, and Reporting Zika Virus Infections in Travelers Returning from Central America, South America, the Caribbean, and Mexico. URL: http://emergency.cdc.gov/han/han00385.asp
5. Centers for Disease Control and Prevention. Travelers′ Health: Travel Health Notices. URL: http://wwwnc.cdc.gov/travel/notices
6. Chen, LH. Zika Virus Infection in a Massachusetts Resident After Travel to Costa Rica: A Case Report. Ann Intern Med 2016; 164: 574.
7. Dallas County Health and Human Services. DCHHS Reports First Zika Virus Case in Dallas County Acquired Through Sexual Transmission. URL: http://www.dallascounty.org/department/hhs/press/documents/PR2-2-16DCHHSReportsFirstCaseofZikaVirusT...
8. Dupont-Rouzeyrol M, Biron A, O′Connor O et al. Infectious Zika viral particles in breastmilk. Lancet 2016; 387: 1051.
9. Fleming-Dutra KE, Nelson JM, Fischer M et al. Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection – United States, February 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 182.
10. Gatherer D, Kohl A. Zika virus: a previously slow pandemic spreads rapidly through the Americas. J Gen Virol 2016; 97: 269.
11. Hayes EB. Zika virus outside Africa. Emerg Infect Dis 2009; 15: 1347.
12. Hennessey M, Fischer M, Staples JE. Zika Virus Spreads to New Areas – Region of the Americas, May 2015 – January 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 55.
13. Hills SL, Russell K, Hennessey M et al. Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission – Continental United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 215.
14. Jouannic, JM, Friszer S, Leparc-Goffart I et al. Zika virus infection in French Polynesia. Lancet 2016; 387: 1051–2.
15. Karimi O, Goorhuis A, Schinkel J et al. Thrombocytopenia and subcutaneous bleedings in a patient with Zika virus infection. Lancet 2016; 387: 939.
16. Meaney-Delman D, Rasmussen SA, Staples JE et al. Zika Virus and Pregnancy: What Obstetric Health Care Providers Need to Know. Obstet Gynecol 2016; 127 (4): 642–8.
17. Meaney-Delman D, Hills SL, Williams C et al. Zika Virus Infection Among U.S. Pregnant Travelers. August 2015 – February 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 211.
18. Oduyebo T, Petersen EE, Rasmussen SA et al. Update: Interim Guidelines for Health Care Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 122.
19. Oehler E, Watrin L, Larre P et al. Zika virus infection complicated by Guillain–Barré syndrome – case report, French Polynesia, December 2013. Euro Surveill 2014; 19 (9). pii: 20720
20. Oliveira Melo AS, Malinger G, Ximenes R et al. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol 2016; 47: 6.
21. Petersen EE, Staples JE, Meaney-Delman D et al. Interim Guidelines for Pregnant Women During a Zika Virus Outbreak – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 30.
22. Staples JE, Dziuban EJ, Fischer M et al. Interim Guidelines for the Evaluation and Testing of Infants with Possible Congenital Zika Virus Infection – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 63.
23. State of Hawaii. DOH News Release: Hawaii Department of Health Receives Confirmation of Zika Infection in Baby Born with Microcephaly. URL: http://governor.hawaii.gov/newsroom/doh-news-release-hawaii-department-of-health-receives-confirmati...
24. Tang H, Hammack C, Ogden SC et al. Zika Virus Infects Human Cortical Neural Progenitors and Attenuates Their Growth. Cell Stem Cell 2016; 18 (5): 587–90.
25. Thomas DL, Sharp TM, Torres J et al. Local Transmission of Zika Virus – Puerto Rico, November 23, 2015–January 28, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 154.
26. Ventura CV, Maia M, Bravo-Filho V et al. Zika virus in Brazil and macular atrophy in a child with microcephaly. Lancet 2016; 387: 228.
27. Victora CG, Schuler-Faccini L, Matijasevich A et al. Microcephaly in Brazil: how to interpret reported numbers? Lancet 2016; 387: 621.
28. Villamil-Gómez WE, González-Camargo O, Rodriguez-Ayubi J et al. Dengue, chikungunya and Zika co-infection in a patient from Colombia. J Infect Public Health 2016; 9 (5): 684–6.
29. Vouga M, Musso D, van Mieghem T et al. CDC guidelines for pregnant women during the Zika virus outbreak. Lancet 2016; 387: 843–4.
30. World Health Organization. Pregnancy management in the context of Zika virus: Interim guidance, 2 March 2016. URL: http://apps.who.int/iris/bitstream/10665/204520/
1/WHO_ZIKV_MOC_16.2_eng.pdf
31. World Health Organization. WHO Director-General briefs Executive Board on Zika situation. URL: http://www.who.int/dg/speeches/2016/zika-situation/en/
32. World Health Organization. WHO statement on the 2nd meeting of IHR Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations. URL: http://www.who.int/mediacentre/news/statements/2016/2nd-emergency-committee-zika/en/
2. Calvet G, Aguiar RS, Melo AS et al. Detection and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study. Lancet Infect Dis 2016; 16 (6): 653–60.
3. Cauchemez, S, Besnard M, Bompard P et al. Association between Zika virus and microcephaly in French Polynesia, 2013–15: a retrospective study. Lancet 2016; 387: 2125–32.
4. Centers for Disease Control and Prevention. Emergency Preparedness and Response: Recognizing, Managing, and Reporting Zika Virus Infections in Travelers Returning from Central America, South America, the Caribbean, and Mexico. URL: http://emergency.cdc.gov/han/han00385.asp
5. Centers for Disease Control and Prevention. Travelers′ Health: Travel Health Notices. URL: http://wwwnc.cdc.gov/travel/notices
6. Chen, LH. Zika Virus Infection in a Massachusetts Resident After Travel to Costa Rica: A Case Report. Ann Intern Med 2016; 164: 574.
7. Dallas County Health and Human Services. DCHHS Reports First Zika Virus Case in Dallas County Acquired Through Sexual Transmission. URL: http://www.dallascounty.org/department/hhs/press/documents/PR2-2-16DCHHSReportsFirstCaseofZikaVirusT...
8. Dupont-Rouzeyrol M, Biron A, O′Connor O et al. Infectious Zika viral particles in breastmilk. Lancet 2016; 387: 1051.
9. Fleming-Dutra KE, Nelson JM, Fischer M et al. Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection – United States, February 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 182.
10. Gatherer D, Kohl A. Zika virus: a previously slow pandemic spreads rapidly through the Americas. J Gen Virol 2016; 97: 269.
11. Hayes EB. Zika virus outside Africa. Emerg Infect Dis 2009; 15: 1347.
12. Hennessey M, Fischer M, Staples JE. Zika Virus Spreads to New Areas – Region of the Americas, May 2015 – January 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 55.
13. Hills SL, Russell K, Hennessey M et al. Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission – Continental United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 215.
14. Jouannic, JM, Friszer S, Leparc-Goffart I et al. Zika virus infection in French Polynesia. Lancet 2016; 387: 1051–2.
15. Karimi O, Goorhuis A, Schinkel J et al. Thrombocytopenia and subcutaneous bleedings in a patient with Zika virus infection. Lancet 2016; 387: 939.
16. Meaney-Delman D, Rasmussen SA, Staples JE et al. Zika Virus and Pregnancy: What Obstetric Health Care Providers Need to Know. Obstet Gynecol 2016; 127 (4): 642–8.
17. Meaney-Delman D, Hills SL, Williams C et al. Zika Virus Infection Among U.S. Pregnant Travelers. August 2015 – February 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 211.
18. Oduyebo T, Petersen EE, Rasmussen SA et al. Update: Interim Guidelines for Health Care Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 122.
19. Oehler E, Watrin L, Larre P et al. Zika virus infection complicated by Guillain–Barré syndrome – case report, French Polynesia, December 2013. Euro Surveill 2014; 19 (9). pii: 20720
20. Oliveira Melo AS, Malinger G, Ximenes R et al. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol 2016; 47: 6.
21. Petersen EE, Staples JE, Meaney-Delman D et al. Interim Guidelines for Pregnant Women During a Zika Virus Outbreak – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 30.
22. Staples JE, Dziuban EJ, Fischer M et al. Interim Guidelines for the Evaluation and Testing of Infants with Possible Congenital Zika Virus Infection – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 63.
23. State of Hawaii. DOH News Release: Hawaii Department of Health Receives Confirmation of Zika Infection in Baby Born with Microcephaly. URL: http://governor.hawaii.gov/newsroom/doh-news-release-hawaii-department-of-health-receives-confirmati...
24. Tang H, Hammack C, Ogden SC et al. Zika Virus Infects Human Cortical Neural Progenitors and Attenuates Their Growth. Cell Stem Cell 2016; 18 (5): 587–90.
25. Thomas DL, Sharp TM, Torres J et al. Local Transmission of Zika Virus – Puerto Rico, November 23, 2015–January 28, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 154.
26. Ventura CV, Maia M, Bravo-Filho V et al. Zika virus in Brazil and macular atrophy in a child with microcephaly. Lancet 2016; 387: 228.
27. Victora CG, Schuler-Faccini L, Matijasevich A et al. Microcephaly in Brazil: how to interpret reported numbers? Lancet 2016; 387: 621.
28. Villamil-Gómez WE, González-Camargo O, Rodriguez-Ayubi J et al. Dengue, chikungunya and Zika co-infection in a patient from Colombia. J Infect Public Health 2016; 9 (5): 684–6.
29. Vouga M, Musso D, van Mieghem T et al. CDC guidelines for pregnant women during the Zika virus outbreak. Lancet 2016; 387: 843–4.
30. World Health Organization. Pregnancy management in the context of Zika virus: Interim guidance, 2 March 2016. URL: http://apps.who.int/iris/bitstream/10665/204520/
1/WHO_ZIKV_MOC_16.2_eng.pdf
31. World Health Organization. WHO Director-General briefs Executive Board on Zika situation. URL: http://www.who.int/dg/speeches/2016/zika-situation/en/
32. World Health Organization. WHO statement on the 2nd meeting of IHR Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations. URL: http://www.who.int/mediacentre/news/statements/2016/2nd-emergency-committee-zika/en/
________________________________________________
2. Calvet G, Aguiar RS, Melo AS et al. Detection and sequencing of Zika virus from amniotic fluid of fetuses with microcephaly in Brazil: a case study. Lancet Infect Dis 2016; 16 (6): 653–60.
3. Cauchemez, S, Besnard M, Bompard P et al. Association between Zika virus and microcephaly in French Polynesia, 2013–15: a retrospective study. Lancet 2016; 387: 2125–32.
4. Centers for Disease Control and Prevention. Emergency Preparedness and Response: Recognizing, Managing, and Reporting Zika Virus Infections in Travelers Returning from Central America, South America, the Caribbean, and Mexico. URL: http://emergency.cdc.gov/han/han00385.asp
5. Centers for Disease Control and Prevention. Travelers′ Health: Travel Health Notices. URL: http://wwwnc.cdc.gov/travel/notices
6. Chen, LH. Zika Virus Infection in a Massachusetts Resident After Travel to Costa Rica: A Case Report. Ann Intern Med 2016; 164: 574.
7. Dallas County Health and Human Services. DCHHS Reports First Zika Virus Case in Dallas County Acquired Through Sexual Transmission. URL: http://www.dallascounty.org/department/hhs/press/documents/PR2-2-16DCHHSReportsFirstCaseofZikaVirusT...
8. Dupont-Rouzeyrol M, Biron A, O′Connor O et al. Infectious Zika viral particles in breastmilk. Lancet 2016; 387: 1051.
9. Fleming-Dutra KE, Nelson JM, Fischer M et al. Update: Interim Guidelines for Health Care Providers Caring for Infants and Children with Possible Zika Virus Infection – United States, February 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 182.
10. Gatherer D, Kohl A. Zika virus: a previously slow pandemic spreads rapidly through the Americas. J Gen Virol 2016; 97: 269.
11. Hayes EB. Zika virus outside Africa. Emerg Infect Dis 2009; 15: 1347.
12. Hennessey M, Fischer M, Staples JE. Zika Virus Spreads to New Areas – Region of the Americas, May 2015 – January 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 55.
13. Hills SL, Russell K, Hennessey M et al. Transmission of Zika Virus Through Sexual Contact with Travelers to Areas of Ongoing Transmission – Continental United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 215.
14. Jouannic, JM, Friszer S, Leparc-Goffart I et al. Zika virus infection in French Polynesia. Lancet 2016; 387: 1051–2.
15. Karimi O, Goorhuis A, Schinkel J et al. Thrombocytopenia and subcutaneous bleedings in a patient with Zika virus infection. Lancet 2016; 387: 939.
16. Meaney-Delman D, Rasmussen SA, Staples JE et al. Zika Virus and Pregnancy: What Obstetric Health Care Providers Need to Know. Obstet Gynecol 2016; 127 (4): 642–8.
17. Meaney-Delman D, Hills SL, Williams C et al. Zika Virus Infection Among U.S. Pregnant Travelers. August 2015 – February 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 211.
18. Oduyebo T, Petersen EE, Rasmussen SA et al. Update: Interim Guidelines for Health Care Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 122.
19. Oehler E, Watrin L, Larre P et al. Zika virus infection complicated by Guillain–Barré syndrome – case report, French Polynesia, December 2013. Euro Surveill 2014; 19 (9). pii: 20720
20. Oliveira Melo AS, Malinger G, Ximenes R et al. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol 2016; 47: 6.
21. Petersen EE, Staples JE, Meaney-Delman D et al. Interim Guidelines for Pregnant Women During a Zika Virus Outbreak – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 30.
22. Staples JE, Dziuban EJ, Fischer M et al. Interim Guidelines for the Evaluation and Testing of Infants with Possible Congenital Zika Virus Infection – United States, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 63.
23. State of Hawaii. DOH News Release: Hawaii Department of Health Receives Confirmation of Zika Infection in Baby Born with Microcephaly. URL: http://governor.hawaii.gov/newsroom/doh-news-release-hawaii-department-of-health-receives-confirmati...
24. Tang H, Hammack C, Ogden SC et al. Zika Virus Infects Human Cortical Neural Progenitors and Attenuates Their Growth. Cell Stem Cell 2016; 18 (5): 587–90.
25. Thomas DL, Sharp TM, Torres J et al. Local Transmission of Zika Virus – Puerto Rico, November 23, 2015–January 28, 2016. MMWR Morb Mortal Wkly Rep 2016; 65: 154.
26. Ventura CV, Maia M, Bravo-Filho V et al. Zika virus in Brazil and macular atrophy in a child with microcephaly. Lancet 2016; 387: 228.
27. Victora CG, Schuler-Faccini L, Matijasevich A et al. Microcephaly in Brazil: how to interpret reported numbers? Lancet 2016; 387: 621.
28. Villamil-Gómez WE, González-Camargo O, Rodriguez-Ayubi J et al. Dengue, chikungunya and Zika co-infection in a patient from Colombia. J Infect Public Health 2016; 9 (5): 684–6.
29. Vouga M, Musso D, van Mieghem T et al. CDC guidelines for pregnant women during the Zika virus outbreak. Lancet 2016; 387: 843–4.
30. World Health Organization. Pregnancy management in the context of Zika virus: Interim guidance, 2 March 2016. URL: http://apps.who.int/iris/bitstream/10665/204520/
1/WHO_ZIKV_MOC_16.2_eng.pdf
31. World Health Organization. WHO Director-General briefs Executive Board on Zika situation. URL: http://www.who.int/dg/speeches/2016/zika-situation/en/
32. World Health Organization. WHO statement on the 2nd meeting of IHR Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations. URL: http://www.who.int/mediacentre/news/statements/2016/2nd-emergency-committee-zika/en/
Авторы
Ю.Э.Доброхотова, Е.И.Боровкова*
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*katyanikitina@mail.ru
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*katyanikitina@mail.ru
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*katyanikitina@mail.ru
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N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*katyanikitina@mail.ru
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