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Zika virus (ZIKV) has a wide clinical spectrum of associated neurologic disease including microcephaly and Guillain–Barre syndrome but, despite its known neurotropism, ZIKV meningoencephalitis and myelitis have been rare complications. We describe a case of ZIKV meningoencephalitis and probable myelitis and its associated magnetic resonance imaging findings that rapidly resolved during recovery in a previously healthy adult.
Authors’ addresses: Faruq Pradhan, Department of Internal Medicine, Lahey Hospital and Medical Center, Burlington, MA, E-mail: faruq.pradhan@lahey.org. Joseph D. Burns, Department of Neurology, Lahey Hospital and Medical Center, Burlington, MA, E-mail: joseph.d.burns@lahey.org. Ahmed Agameya, Department of Internal Medicine, Travel and Tropical Medicine Clinic, Lahey Hospital and Medical Centre, Burlington, MA, E-mail: ahmed.agameya@lahey.org. and Winnie Ooi, Department of Infectious Diseases, Travel and Tropical Medicine Clinic, Lahey Hospital and Medical Centre, Burlington, MA, E-mail: winnie.w.ooi@lahey.org. Avignat Patel, Department of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Burlington, MA, E-mail: avignat.s.patel@lahey.org. Mohammad Alfaqih, Department of Radiology, Lahey Hospital and Medical Center, Burlington, MA, E-mail: mohammad.alfaqih@lahey.org. Juan E. Small, Department of Radiology, Lahey Hospital and Medical Center, Burlington, MA, E-mail: juan.e.small@lahey.org.