Tears Linked to 'Mystery' Zika Case Secondary infection followed nonsexual contact with original patient

Testing for Zika was positive and showed a "very high viral load," the investigators reported. The man's tears are suspected of being the transmission route for the illness of a second patient, a 38-year-old friend who had visited the original patient in hospital and later reported helping move the man without using gloves and wiping his friend's eyes. However, there was no splashing of body fluids or contact with mucosal tissues, the report indicated. The second man presented 5 days after the first patient's death with conjunctivitis, fever, myalgia, and facial maculopapular rash, which resolved within a week. Urine testing for Zika was positive, as was a serum IgM antibody test, Swaminathan and colleagues reported, although serum was negative on a polymerase chain reaction assay. The second man's case, which was first reported earlier this summer, had caused considerable puzzlement. He had not travelled to a region where Zika virus is endemic http://www.medpagetoday.com/InfectiousDisease/ZikaVirus/60508?xid=nl_mpt_DHE_2016-09-29&eun=g721819d0r&pos=3