Log in with your email address username.


Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

First report of Zika virus infection in a returned traveller from the Solomon Islands

- Featured Image

A 33-year-old man returning from the Solomon Islands presented to an emergency department in Brisbane after 4 days of retro-orbital headache, fever, and myalgias, which had started 10 days into his journey. On examination, he was afebrile and had a diffuse erythematous rash. A full blood count revealed mild neutropenia and thrombocytopenia. IgG seroconversion for flavivirus was shown by parallel testing, 15 days apart. Zika virus (ZIKV) RNA was also found in blood, urine and throat samples by polymerase chain reaction (PCR) testing. The patient received supportive medical care and recovered fully.

ZIKV is a mosquito-borne flavivirus, first identified in the Zika forest of Uganda during yellow fever research in 1947; the first evidence for infection in humans was reported in 1952. Serosurveys during the 1950s suggested widespread ZIKV transmission in Africa and South-East Asia.1

ZIKV infection occurs in a geographical distribution, and causes a clinical syndrome similar to mild infection with dengue virus (DENV), also a flavivirus. Infection is characterised by fever, arthralgia, myalgia, headache and rash. Other features include peripheral oedema and non-purulent conjunctivitis. Symptoms abate within 3–12 days. Asymptomatic infection is common. ZIKV infection is not typically associated with blood film abnormalities, in contrast to infection with DENV or Chikungunya virus.2