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Zika virus found in brain tissue of a multiple sclerosis patient undergoing an acute disseminated encephalomyelitis-like episode.

Soniza Vieira Alves-LeonMonique da Rocha LimaPriscila Conrado Guerra NunesLeila Maria Cardão ChimelliKíssila RabeloRita Maria Ribeiro NogueiraFernanda de Bruycker-NogueiraElzinandes Leal de AzeredoPaulo Roberto BahiaFernanda Cristina Rueda LopesJorge P Barreto Marcondes de SouzaFabrícia Lima Fontes-DantasMarciano Viana PaesElba Rs LemosFlavia Barreto Santos
Published in: Multiple sclerosis (Houndmills, Basingstoke, England) (2018)
Our data describe the coexistence of a recent central nervous system (CNS) ZIKV infection accompanied by a severe ADEM-like syndrome outcome in a patient with clinical history of MS. A de novo immune response concomitant with ZIKV infection might be involved in the mechanism of the ADEM-like syndrome and response to immunotherapy. The present report reinforces the importance of providing the differential diagnosis of acute episodes of MS exacerbation in an environment prone to ZIKV expression.
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