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Redes Sociais

Saúde v6n3n

Secretaria de Estado da Saúde investiga seis casos de microcefalia relacionados ao vírus zika 4c5744

Os casos são de bebês nascidos nas cidades de Campinas, Guarulhos, Mogi-Guaçu, Ribeirão Preto, São Paulo e Sumaré. No caso de São Paulo a gestante tem histórico de viagem ao Nordeste

Publicado há

9 anos

em

A Secretaria de Estado da Saúde de São Paulo informou por meio de nota à imprensa na tarde desta segunda-feira que  investiga seis casos de microcefalia (má-formação cerebral) em recém-nascidos possivelmente relacionados à infecção pelo vírus zika, transmitido pelo mosquito Aedes aegypti, no Estado. Os casos são de bebês nascidos nas cidades de Campinas, Guarulhos, Mogi-Guaçu, Ribeirão Preto, São Paulo e Sumaré. No caso de São Paulo a gestante tem histórico de viagem ao Nordeste. Ela chegou a São Paulo com 37 meses de gestação. Os demais casos estão sendo tratados, no momento, como autóctones.

Todos esses casos preenchem os requisitos clínicos necessários para definição de caso ligado a infecção por zika: as gestantes apresentaram exantema (manchas avermelhadas pelo corpo) durante a gestação e tiveram exames negativos para rubéola, toxoplasmose, sífilis, herpes e citomegalovírus. Em quatro dos seis casos os resultados de tomografia computadorizada mostraram presença de calcificação no cérebro dos bebês, o que pode sugerir infecção pelo zika.

Não há, no momento, exame sorológico disponível na rede pública de saúde do país para confirmação laboratorial de zika. Somente este exame seria capaz de apontar anticorpos do vírus no sangue das mães cujos filhos nasceram com microcefalia, bem como atestar infecções de pessoas com os sintomas da doença.

A rede sentinela contra zika implantada pela Secretaria vem monitorando a circulação do vírus no Estado. Por meio da rede de laboratórios do Instituto Adolfo Lutz, a Secretaria de Estado da Saúde vem realizando testes de RT-PCR (Reação em Cadeia da Polimerase, com Transcriptase Reversa, em Tempo Real) em amostras que deram negativas para dengue, visando identificar o genoma do zika vírus. Esses exames são aplicados sobretudo em regiões em que há notificação de casos de microcefalia. Até o momento, nenhum teste deu positivo para zika.

A Secretaria está considerando gestantes com exantema até que se confirme ou não a circulação do zika vírus nos municípios de residência dos casos suspeitos. De 17 de novembro até 10 de dezembro os municípios notificaram 46 casos de microcefalia ao Centro de Vigilância Epidemiológica da Secretaria. Seguindo protocolo federal editado em 8 de dezembro, a pasta irá elaborar boletins periódicos de casos de má-formação cerebral que tenham possível relação com infecção por zika.

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