Brief report on mucocutaneous findings, course in adult with Zika virus infection

What are the mucocutaneous (skin and mucous membrane) features of a 44-year-old man who returned from a six-day vacation to Puerto Rico with confirmatory testing for Zika virus?

Amit Garg, M.D., of the Hofstra Northwell School of Medicine, New Hyde Park, N.Y., and coauthors describe the observations in an article published online by JAMA Dermatology.

The man had a diffuse papular (bumpy) descending eruption (rash), petechiae (spots) on his palate and hyperemic sclerae (bloodshot eyes).

The authors suggest an awareness of mucocutaneous findings associated with Zika virus infection can aid health care providers in recognizing it early and also eliminating it from consideration when patients present with other more common erythematous eruptions (red rashes on the skin).