Zika Virus Infection

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To the Editors:
The article on Zika virus disease is very interesting.1 Darko and Mashburn noted that “It is critical for physicians and other providers to know the growing list of countries and territories on the US Centers for Disease Control and Prevention list of nations with endemic ZIKV disease and to work closely with local health departments to prevent spread” and also present a case report. In fact, there are many cases of Zika virus diseases around the world. The list of the countries at risk might be useful, but it should be noted that there are many countries with the problem of asymptomatic infected cases. In Asia, many cases of Zika virus disease are asymptomatic and can be easily missed.2 In the pediatric population, the symptoms of the disease can be mild to severe.3 The concurrent infection or coexistence with other morbidity is possible, and this can be a problem in emergency care.
In conclusion, there are many concerns for the practitioner of pediatric emergency care. First, there is a possible misdiagnosis or underdiagnosis of the emergency case because of the high similarity of Zika virus disease to other disorders, especially dengue. Second, the Zika virus infection can be a silent forgotten comorbidity in any emergency patient. Third, the awareness of the disease is needed and there must be a good infection control including mosquito control in any emergency care unit.

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