Zika Virus: Symptoms, Causes, and Treatments

Written by Medicover Team and Medically Reviewed by Dr Badal Shivnarayan Taori , General Medicine


Zika virus is primarily transmitted through the bite of infected Aedes mosquitoes (Aedes aegypti and Aedes albopictus), which are active during daylight hours. It causes mild symptoms like fever, rash, and joint pain, but poses serious risks in pregnancy, potentially leading to miscarriage or birth defects like microcephaly. There is no specific vaccine or treatment, care is supportive.

How Does Zika Virus Spread?

Zika virus spreads primarily through the bite of an infected Aedes mosquito, which tends to bite during the early morning and late afternoon/evening.

Other Modes of Transmission

  • Mother to baby during pregnancy
  • Unprotected sexual contact
  • Blood transfusions
  • Travel to high-risk areas with active Zika outbreaks

What are the Zika Virus Symptoms?

Most people infected with Zika virus experience mild or no symptoms, making diagnosis challenging. Symptoms usually appear within 3-14 days after exposure.

Common Symptoms

  • Mild fever
  • Skin rash (flat or slightly raised, often itchy)
  • Joint and muscle pain
  • Conjunctivitis (red eyes)
  • Chills and sweating
  • Fatigue and weakness
  • Headache
  • Loss of appetite

What Are the Common Causes and Risk Factors of Zika Virus?

The most common way for the Zika virus to infect a person is through the bite of an infected aedes mosquito. The zika virus enters the mosquito when it bites a person with the disease.

When the infected mosquito bites another healthy person the virus enters the bloodstream of that person and results in an illness. The Zika virus may potentially pass from a mother to her baby in a pregnant woman.


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Zika Virus Risk Factors

You are at a higher risk of contracting Zika if you:

  • Travel to or live in areas with Zika outbreaks
  • Have unprotected sex with someone exposed to Zika
  • Receive contaminated blood transfusions
  • Are pregnant or planning pregnancy in high-risk regions

Complications of Zika Virus

While Zika symptoms are often mild, complications can be severe, especially in unborn babies and some adults.

Possible Complications Include

  • Congenital microcephaly and neurological defects
  • Miscarriage or stillbirth
  • Premature delivery
  • Guillain-Barre Syndrome (GBS) is a rare neurological disorder
  • Severe dehydration
  • Hearing and vision impairment in newborns
  • Acute Disseminated Encephalomyelitis (ADEM)

How is Zika Virus Diagnosed?

Diagnosis is based on symptoms, travel history, and lab testing.

Diagnostic Methods

  • Medical history evaluation: Especially recent travel to outbreak regions
  • Physical examination: To check for rash, fever, or joint pain
  • Blood and urine tests: Detect the virus directly
  • Ultrasound and Amniocentesis: For monitoring fetal health in pregnant women

What are the Zika Virus Treatment Options?

There is no specific antiviral treatment for Zika virus. Most people recover fully within a week or two with proper care.

Supportive Care Includes

  • Plenty of fluids (water, juices, coconut water) to stay hydrated
  • Rest to support recovery
  • Paracetamol for fever and pain (avoid NSAIDs like ibuprofen until dengue is ruled out)
  • Close monitoring in pregnancy for any fetal abnormalities
  • Avoidance of mosquito bites through repellents, nets, and clothing

When to see a doctor?

Consult a doctor if you suspect you or any family member has a Zika virus infection. The doctors will suggest a blood test to screen for the virus and other mosquito-borne illnesses. Discuss with the doctor if you should undergo a zika virus test if you are pregnant or have recently visited a high-risk region where the disease is prevalent, even if you don't have any symptoms.


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Zika Virus in Pregnancy: What You Should Know

Zika infection during pregnancy can lead to serious fetal complications, including:

  • Microcephaly (abnormally small head and brain)
  • Neurological abnormalities
  • Miscarriage or stillbirth
  • Premature birth
  • Vision and hearing problems

Diagnosis for Pregnant Women

  • Ultrasound (every 3-4 weeks): Detects fetal brain abnormalities like microcephaly
  • Amniocentesis: Tests the amniotic fluid for evidence of Zika virus
  • Zika virus testing: Via blood or urine

Dos and Don'ts

The Zika virus disease or Zika fever mainly causes no or only mild symptoms, identical to a very mild form of dengue fever. Slight fever, rash, headache, red eyes, and joint discomfort are typical symptoms.

Do's Don'ts
Put tight lids on all water tanks and containers. Allow rainwater to accumulate for mosquitoes to thrive.
Sleep under mosquito nets Avoid any sudden symptoms or changes, particularly during pregnancy.
Use safe insect repellents on your skin. Wear skin tight clothes
Wear long and loose clothes to protect yourself from mosquito bites. Have unprotected sex
Avoid traveling to high risk regions having Zika virus outbreaks. Travel to places where Zika disease is present.

There is no specific medicine or Zika virus vaccine available to protect against the disease. The following dos and don'ts can aid in managing the disease.


Preventing Zika Virus Infection

  • Avoid mosquito bites: Use repellents, wear protective clothing, use bed nets
  • Plan travel carefully: Especially if you are pregnant or planning pregnancy
  • Practice safe sex: Use condoms, especially after returning from a risk area
  • Control mosquito breeding: Eliminate standing water from surroundings
  • Stay informed: Follow local and international health advisories

Our Experience Treating Zika Virus

At Medicover hospitals, we have the best team of general doctors and medical professionals that treat the Zika Virus with the highest accuracy. Our qualified physicians are equipped with excellent diagnostic instruments and methodologies for screening, and treating the zika virus and related problems in adults and newborns.

For a quicker and more lasting recovery from Zika disease, our experts closely collaborate with the patients to monitor their condition and the effectiveness of the therapy.


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Frequently Asked Questions

Zika can cause microcephaly and other brain defects if a woman is infected during pregnancy, especially in the first trimester.

Yes, Zika is linked to birth defects such as microcephaly, eye defects, and brain development issues in babies born to infected mothers.

High-risk areas include parts of Central and South America, the Caribbean, Southeast Asia, and some regions of Africa and the Pacific Islands.

Yes, Zika can be transmitted via blood transfusion, though strict screening measures are used to reduce this risk.

Zika typically clears from blood within a week, but the virus may remain in semen for weeks to months, posing a risk of sexual transmission.

No, but all three are mosquito-borne viruses with similar symptoms. Zika is distinct and poses a unique risk to pregnancy.

Zika is most active in warm, humid months when mosquitoes are abundant, typically during the rainy season in tropical and subtropical regions.

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