Introduction: several birth defects associated to congenital Zika virus infection have been reported, although the clinical features have not been fully characterized. Description: this is the first case report on unilateral diaphragmatic paralysis diagnosed on a neonate with congenital Zika confirmed by the examination of the amniotic fluid through polymerase chain reaction (ZIKV RT-PCR) and the examination of cerebrospinal fluid by serological test (IgM ZIKV-ELISA) after birth. The main manifestations detected by intrauterine ultrasound were: microcephaly, ventriculomegaly, intracranial calcifications, enlarged cisterna magna, increased amniotic fluid index and fetal akinesia syndrome. The newborn had acute respiratory failure in the first hours of life, requiring mechanical ventilation. The X- ray of the chest showed unilateral diaphragmatic paralysis and cardiomegaly. Discussion: diaphragmatic palsy in congenital Zika has not been previously reported, the etiopathogenic mechanisms of this event in congenital Zika virus needs to be elucidated.
CITATION STYLE
Souza, A. S. R., Cordeiro, M. T., Meneses, J. D. A., Honorato, E., Araujo Júnior, E., Castanha, P. M. D. S., … Dhalia, R. (2016). Diagnostico clínico e laboratorial do zika vírus congênito e paralisia diaphragmática unilateral: O relato de um caso. Revista Brasileira de Saude Materno Infantil, 16(4), 467–473. https://doi.org/10.1590/1806-93042016000400007
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