法属波利尼西亚与寨卡病毒感染相关的Guillain-Barré综合征爆发:病例对照研究
Van-Mai Cao-Lormeau1, Alexandre Blake2, Sandrine Mons3
1Unit of Emerging Infectious Diseases, Institut Louis Malardé, Papeete, Tahiti, French Polynesia.
Lancet (London, England)
|March 8, 2016
概括
寨卡病毒感染与吉林巴雷综合征有很强的联系,正如法国波利尼西亚疫情期间感染患者的寨卡抗体高率所证明的那样. 这一发现凸显了在面临寨卡病毒传播的地区做好准备的必要性.
科学领域:
- 传染性疾病
- 神经学
- 病毒学
背景情况:
- 法属波利尼西亚在2013年10月至2014年4月期间发生了严重的寨卡病毒爆发.
- 与此同时,吉伦-巴雷综合征病例的增加表明可能与寨卡病毒感染有关.
研究的目的:
- 调查寨卡病毒感染与吉林巴雷综合征发展之间的关联.
- 评估在疫情期间登革热病毒感染病例中的作用.
主要方法:
- 一项病例对照研究对吉林巴雷综合征患者和匹配对照进行.
- 病毒学调查包括RT-PCR和寨卡和登革热病毒的血清学测试.
- 在Guillain- Barre综合征患者中分析了抗糖脂抗体的反应性.
主要成果:
- 98% 的吉林巴雷综合征患者具有抗寨卡病毒抗体,100% 的患者具有中和抗体.
- 大多数吉林巴雷综合征患者 (93%) 呈现出寨卡病毒IgM,疾病发作和神经症状之间的中位数为6天.
- 电生理学发现与急性运动轴突神经病变 (AMAN) 一致,29%的患者需要呼吸辅助.
结论:
- 这项研究提供了首个直接将寨卡病毒感染与吉林巴雷综合征联系起来的证据.
- 经历寨卡病毒传播的美洲国家必须为吉林巴雷综合征患者的重症监护需求增加做好准备.
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