{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T16:13:55Z","timestamp":1764260035929},"reference-count":20,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11,7]]},"abstract":"<jats:p>Zika virus (ZIKV) was first detected in the Americas in Brazil in 2015, with a rapid spread to surrounding countries. In Panama, the outbreak began in November 2015 in an indigenous community located on the Caribbean side of the country. Zika virus is typically associated with a diffuse rash, fever, and conjunctivitis. It can rarely cause neurologic manifestations, most commonly microcephaly and Guillain\u2013Barr\u00e9 syndrome. Encephalitis and acute encephalomyelitis are known complications, but ZIKV-associated cerebellitis has yet to be reported in the literature. Herein, we report a case of cerebellitis in a patient infected with ZIKV. This patient developed severe frontal headache and vertigo on the third day of illness, and dysarthria and ataxia on the fifth day. After 1 week of hospitalization, the patient completely recovered. The laboratory serological diagnosis was complicated because of the detection of antibodies against dengue, suggesting a secondary flavivirus infection.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0261","type":"journal-article","created":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T07:00:44Z","timestamp":1537858844000},"page":"1318-1320","source":"Crossref","is-referenced-by-count":6,"title":["Zika Virus\u2013Associated Cerebellitis with Complete Clinical Recovery"],"prefix":"10.4269","volume":"99","author":[{"given":"M\u00f3nica R.","family":"Pachar","sequence":"first","affiliation":[{"name":"Hospital Santo Tomas, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimelza","family":"Ara\u00faz","sequence":"additional","affiliation":[{"name":"Gorgas Memorial Institute of Health Studies, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan D.","family":"Gundacker","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marixcel","family":"Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Hospital Santo Tomas, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Antonio","family":"Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Gorgas Memorial Institute of Health Studies, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brechla","family":"Moreno","sequence":"additional","affiliation":[{"name":"Gorgas Memorial Institute of Health Studies, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"L\u00f3pez-Verg\u00e8s","sequence":"additional","affiliation":[{"name":"Gorgas Memorial Institute of Health Studies, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana B.","family":"Ara\u00faz","sequence":"additional","affiliation":[{"name":"Hospital Santo Tomas, Panama City, Panama;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"N Engl J Med","first-page":"601","article-title":"Zika virus in the Americas\u2013yet another Arbovirus threat","volume":"374","author":"Fauci","year":"2016"},{"key":"b2","series-title":"Emerg Infect Dis","first-page":"880","article-title":"Probable non-vector-borne transmission of Zika virus, Colorado, USA","volume":"17","author":"Foy","year":"2011"},{"key":"b3","series-title":"Emerg Infect Dis","first-page":"359","article-title":"Potential sexual transmission of Zika virus","volume":"21","author":"Musso","year":"2015"},{"key":"b4","series-title":"Mem Inst Oswaldo Cruz","first-page":"569","article-title":"First report of autochthonous transmission of Zika virus in 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