Abstract General Information

Title

DYSFUNCTION OF THE URINARY AND INTESTINAL TRACT IN A CHILD INFECTED BY THE ZIKA VIRUS DURING THE FETAL PERIOD

Introduction and objective

In the last 7 years, various sequelae caused by the Zika virus have been evaluated in patients with microcephaly, but there is evidence that patients without CZS, those born without microcephaly but whose mothers had Zika during pregnancy, are presenting late sequelae with at least one developmental delay, when considering the age range up to 7 years (MAIA, 2019). However, little has been studied about the vesical and intestinal dysfunctions in these children.
To report the case of a patient infected by the Zika virus during the fetal period and at 5 years of age, presenting with urinary incontinence (UI).
Case: LSM, 5 years and 7 months old, from and born in Jundiai/SP, with a mother who tested positive for ZV during pregnancy.
The child presented with UI since toilet training at 2 years old, reporting nighttime urine loss 2 to 3 times per week, both without improvement after conservative treatment. The child also complained of constipation, which did not improve after the use of laxative medication. It was decided to perform a urodynamic study (CMG).

Method

The information contained in this work was obtained through medical record review, and recording of diagnostic methods to which the patient was submitted after obtaining informed consent and assent.

Results

There was no urinary leakage and the presence of involuntary detrusor contractions during filling. After an infusion of 220 ml, micturition started detrusor pressure of 38 cmH2O
Residual: 60ml (ICCS: 180ml)
Urodynamic study with a report of normality, but with a significant post-void residual, even in the flowmetry, where the voiding pressure is also elevated, especially in the middle of the flow, resembling a normal tracing with altered voiding phase.

Conclusion

The discovery of the relationship between ZV and SCZ led to an intense mobilization by Brazilian public health authorities. Prevention and control measures against the Aedes aegypti mosquito were expanded to prevent the spread of the virus and its consequences. Although there have been advances in understanding ZV and SCZ, there are still challenges to be faced, such as urological sequelae in fetuses infected or exposed to the virus who did not develop SCZ.