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1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil
BACKGROUND: Congenital Zika Syndrome (CZS) has a broad spectrum of clinical presentations that are still being described. This cohort study aimed to describe the orthopedic complications in children with microcephaly (MCP) related to Zika virus (ZIKV). METHODS: We evaluated 36 children with CZS up t...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6809544/ http://dx.doi.org/10.1093/ofid/ofz360.1538 |
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author | Nogueira Mendes Neto, Nilson Queiroz, Igor T da S. Maia, Jessika T Zacarkim, Marcelo Labeaud, A Desiree Aronoff, David Fernandes, Kalyana de Alcantara, Tabata |
author_facet | Nogueira Mendes Neto, Nilson Queiroz, Igor T da S. Maia, Jessika T Zacarkim, Marcelo Labeaud, A Desiree Aronoff, David Fernandes, Kalyana de Alcantara, Tabata |
author_sort | Nogueira Mendes Neto, Nilson |
collection | PubMed |
description | BACKGROUND: Congenital Zika Syndrome (CZS) has a broad spectrum of clinical presentations that are still being described. This cohort study aimed to describe the orthopedic complications in children with microcephaly (MCP) related to Zika virus (ZIKV). METHODS: We evaluated 36 children with CZS up to 17 months of age followed at a pediatric rehabilitation center in the northeast of Brazil. Cohort enrollment occurred with children born between January 2015 and May 2016. We assessed their social profiles and orthopedic findings. RESULTS: Of the 36 cases, 25 were male. All of them lived in rural area. 25 had at least one congenital orthopedic alteration. Hip subluxation was the most common problem detected (n = 15); other lower limb abnormalities included knee subluxation (n = 7), clubfoot (n = 7); congenital vertical talus (n = 4); plano-valgus foot (n = 5). In relation to the upper limbs, 11 children presented with some shoulder and/or elbow abnormality and 16 had some alteration in the hand and/or on the wrist. CONCLUSION: Orthopedic problems appear to be common in children with CZS and should be a focus of larger clinical studies. An initial orthopedic assessment may provide a better quality of life by helping children avoid further complications/deformities. Our results emphasize the orthopedic problems associated with CZS and the need to better describe many complications in the natural history of this infection. DISCLOSURES: All authors: No reported disclosures. |
format | Online Article Text |
id | pubmed-6809544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-68095442019-10-28 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil Nogueira Mendes Neto, Nilson Queiroz, Igor T da S. Maia, Jessika T Zacarkim, Marcelo Labeaud, A Desiree Aronoff, David Fernandes, Kalyana de Alcantara, Tabata Open Forum Infect Dis Abstracts BACKGROUND: Congenital Zika Syndrome (CZS) has a broad spectrum of clinical presentations that are still being described. This cohort study aimed to describe the orthopedic complications in children with microcephaly (MCP) related to Zika virus (ZIKV). METHODS: We evaluated 36 children with CZS up to 17 months of age followed at a pediatric rehabilitation center in the northeast of Brazil. Cohort enrollment occurred with children born between January 2015 and May 2016. We assessed their social profiles and orthopedic findings. RESULTS: Of the 36 cases, 25 were male. All of them lived in rural area. 25 had at least one congenital orthopedic alteration. Hip subluxation was the most common problem detected (n = 15); other lower limb abnormalities included knee subluxation (n = 7), clubfoot (n = 7); congenital vertical talus (n = 4); plano-valgus foot (n = 5). In relation to the upper limbs, 11 children presented with some shoulder and/or elbow abnormality and 16 had some alteration in the hand and/or on the wrist. CONCLUSION: Orthopedic problems appear to be common in children with CZS and should be a focus of larger clinical studies. An initial orthopedic assessment may provide a better quality of life by helping children avoid further complications/deformities. Our results emphasize the orthopedic problems associated with CZS and the need to better describe many complications in the natural history of this infection. DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2019-10-23 /pmc/articles/PMC6809544/ http://dx.doi.org/10.1093/ofid/ofz360.1538 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Abstracts Nogueira Mendes Neto, Nilson Queiroz, Igor T da S. Maia, Jessika T Zacarkim, Marcelo Labeaud, A Desiree Aronoff, David Fernandes, Kalyana de Alcantara, Tabata 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil |
title | 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil |
title_full | 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil |
title_fullStr | 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil |
title_full_unstemmed | 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil |
title_short | 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil |
title_sort | 1674. orthopedic complications of congenital zika syndrome in brazil |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6809544/ http://dx.doi.org/10.1093/ofid/ofz360.1538 |
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