infectious diseases
Zika Virus (ZV) Infections
Treatment of Zika Virus Infections
Supportive care No specific antiviral treatment is available for Zika virus infection. Treatment is supportive; it includes the following: Rest Fluids to prevent dehydration Acetaminophento relieve fever and pain Avoidance ofaspirinand other NSAIDs (nonsteroidal anti-inflammatory drugs) and other NSAIDs are not typically used during pregnancy and should specifically be avoided in all patients treated for Zika virus infection until Dengue can be ruled out because hemorrhage is a risk. Also, death and severe infection due to Zika virus has been related to If pregnant women have laboratory evidence of Zika virus in serum, urine or amniotic fluid, serial ultrasonography every 3 to 4 weeks should be considered to monitor fetal anatomy and growth. Referral to a maternal-fetal medicine or infectious disease specialist with expertise in pregnancy management is recommended. Brain development should be monitored for ≥ 2 years in all infants born to mothers infected with Zika virus, whether or not the infants have Microcephaly , ocular lesions, or other manifestations suggestive of congenital Zika syndrome. The CDC has extensive information about testing and care for infants affected by Zika (see 1.Sharp TM, Muñoz-Jordán J, Perez-Padilla J, et al: Zika virus infection associated with severe thrombocytopenia.Clin Infect Dis63 (9):1198–1201, 2016. doi: 10.1093/cid/ciw476 2.Karimi O, Goorhuis A, Schinkel J, et al: Thrombocytopenia and subcutaneous bleedings in a patient with Zika virus infection.The Lancet387 (10022):939–940, 2016. doi: 10.1016/S0140-6736(16)00502-X 