Clinical-epidemiological description of live births with microcephaly in the state of Sergipe, Brazil, 2015

Epidemiol Serv Saude. 2017 Apr-Jun;26(2):245-254. doi: 10.5123/S1679-49742017000200002.
[Article in English, Portuguese]

Abstract

Objective: to describe the clinical and epidemiological characteristics of microcephaly cases in live births in Sergipe, Brazil, and to calculate the prevalence in its municipalities.

Methods: this is a descriptive study on live births from September 1st to November 30th, 2015, with data from medical records and interviews with mothers.

Results: 83 cases of microcephaly were confirmed, with three deaths; prevalence in the 26 municipalities with confirmed cases ranged from 18 to 185/10,000 live births; the median of head circumference was 31 cm (range: 22.5-33.0); agenesis of corpus callosum (26/43), lissencephaly (12/43), absence of midline (10/43) and ventriculomegaly (8/43) were observed in the transfontanellar ultrasound; 40 mothers reported rash in pregnancy, 23 in the first trimester, with pruritus, arthralgia and headache; seven were positive for infections potentially causing malformations.

Conclusion: there was a high occurrence of cases of microcephaly, and reports of signs and symptoms compatible with Zika virus infection during pregnancy.

MeSH terms

  • Adolescent
  • Adult
  • Brazil / epidemiology
  • Female
  • Humans
  • Infant, Newborn
  • Live Birth
  • Male
  • Microcephaly / epidemiology*
  • Microcephaly / physiopathology
  • Pregnancy
  • Pregnancy Complications, Infectious / epidemiology*
  • Pregnancy Trimester, First
  • Prevalence
  • Young Adult
  • Zika Virus Infection / epidemiology*