一个罕见的组合:登革热与吉兰-巴雷综合征复杂
Chee Siew Lim1, Neerusha Kaisbain2, Wei Juan Lim3
1Internal Medicine, Hospital Sultanah Aminah, Johor Bahru, MYS.
Cureus
|July 28, 2023
概括
吉兰-巴雷综合征是一种罕见的神经问题,可以跟随登革热. 本案例研究显示,一个患者在没有特殊治疗的情况下从登革热相关的GBS中恢复过来.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 吉兰-巴雷综合征 (GBS) 是一种不常见的神经复杂症.
- 与Campylobacter jejuni.等其他病原体相比,登革热病毒感染是GBS的较少常见原因.
- GBS表现为急性,上升性和反弹性.
研究的目的:
- 在登革热之后报告一个不常见的Guillain-Barre综合征病例.
- 突出登革热相关的GBS的临床表现和诊断发现.
- 描述患者的康复和结果.
主要方法:
- 一个49岁的男性患者的病例报告.
- 对登革热症状和神经系统缺陷的临床评估.
- 神经传导研究以评估神经病变类型.
主要成果:
- 患者在登革热病的第二天出现了双边下肢虚弱和反.
- 神经传导研究证实了脱髓化神经病变,与GBS一致.
- 患者逐渐恢复,并在一周内出院.
结论:
- 登革热可能是吉兰-巴雷综合征的触发因素.
- 登革热感染后的GBS可能呈现出脱髓化特征.
- 从登革热相关的GBS中恢复可以在没有免疫治疗的情况下自发发生.
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