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Volume 23, Number 8—August 2017

Synopsis

Characteristics of Dysphagia in Infants with Microcephaly Caused by Congenital Zika Virus Infection, Brazil, 2015

Mariana C. LealComments to Author , Vanessa van der Linden, Thiago P. Bezerra, Luciana de Valois, Adriana C.G. Borges, Margarida M.C. Antunes, Kátia G. Brandt, Catharina X. Moura, Laura C. Rodrigues, and Coeli R. Ximenes
Author affiliations: Hospital Agamenon Magalhães, Recife, Brazil (M.C. Leal); Universidade Federal de Pernambuco, Recife (M.C. Leal, T.P. Bezerra, M.M.C. Antunes, K.G. Brandt, C.R. Ximenes); Hospital Barão de Lucena, Recife (V. van der Linden); Association for Assistance of Disabled Children, Recife (V. van der Linden, L. de Valois); Prived Clinic, Recife (A.C.G. Borges); Real Hospital Português, Recife (C.X. Moura); London School of Hygiene and Tropical Medicine, London, UK (L.C. Rodrigues)

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Table

Clinical features in 9 infants with dysphagia due to congenital Zika syndrome microcephaly, Brazil, 2015

Patient no. Age, mo, at onset of dysphagia Main symptoms* Respiratory infection (no.)/hospitalization
(no.) Feeding intervention Oral feeding time >30 min†
1
4
Irritability, coughing or choking when eating or drinking, breast-feeding difficulties
No
Food thickening
No
2
4
Breast-feeding difficulties, regurgitation, weight loss
No
Nasoenteral tube (at age 6 mo)
Yes
3
3
Breast-feeding difficulties, choking when drinking
No
Food thickening
Yes
4
6
Regurgitation, coughing or choking when eating or drinking, respiratory infections
Yes (1)/Yes (>3)
Food thickening
Yes
5
2
Coughing or choking when eating or drinking
No
Food thickening
No
6
6
Regurgitation
No
Food thickening
No
7
7
Respiratory infections
Yes (2)/Yes (1)
Food thickening
Yes
8
2
Coughing or choking when eating or drinking, regurgitation, respiratory infections, weight loss
Yes (1)/Yes (1)
Food thickening
Yes
9 5 Regurgitation, coughing or choking when eating or drinking, respiratory infection Yes (1)/Yes (1) Nasoenteral tube (at age 11 mo) Yes

*Reported by parent or guardian.
†Before feeding interventions.

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