Guillain-Barre syndrome associated with hemorrhagic fever with renal syndrome in China: a case report

被引:4
作者
Jiao, Jie [1 ]
Wu, Lei [2 ]
Yin, Jianyuan [1 ]
Quan, Xiaojiao [1 ]
Chen, Wei [3 ]
Hu, Jie [4 ]
机构
[1] Chinese Peoples Liberat Army Gen Hosp, Hainan Branch, Crit Care Med, Sanyan 572000, Hainan, Peoples R China
[2] Chinese Peoples Liberat Army Gen Hosp, Neurol Dept, 28thFuxing Rd, Beijing 100853, Peoples R China
[3] Chinese Peoples Liberat Army Gen Hosp, Emergency Dept, Hainan Branch, Sanyan 572000, Hainan, Peoples R China
[4] Chinese Peoples Liberat Army Gen Hosp, Crit Care Med, 28thFuxing Rd, Beijing 100853, Peoples R China
来源
BMC INFECTIOUS DISEASES | 2018年 / 18卷
基金
中国国家自然科学基金;
关键词
Hantavirus; Hemorrhagic fever with renal syndrome; Acute kidney injury; Guillain-Barre syndrome; CENTRAL PONTINE; INFECTION; DIAGNOSIS;
D O I
10.1186/s12879-018-3049-1
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: We describe a case of Guillain-Barre syndrome (GBS) associated with hemorrhagic fever with renal syndrome. To our knowledge, only five cases of GBS associated with Hantavirus infection have been reported so far. Case presentations: A 62-year-old man presented intermittent fever, chill and oliguria. According to remarkable leukocytosis, atypical lymphocytes, thrombocytopenia and former dwelling in hemorrhagic fever-endemic area, he was suspected as hemorrhagic fever with renal syndromeand certified with positive Hantavirus IgG. Later, the patient had symmetrical flaccid paralysis of all extremities. Electromyography showed peripheral nerve injury (mainly in axon). The patient was diagnosed as having acute motor sensory axonal neuropathy (AMSAN). After immunoglobulin infusion, patient showed progressive recovery and was transferred 3 weeks after his first admission to a rehabilitation center. Conclusions: Our case was the 6th reported case of GBS associated with hemorrhagic fever with renal syndrome. Moreover, we for the first time classified the subtype of GBS (AMSAN) based on the electrophysiology characteristics. GBS should be suspected in patients who are already diagnosed as hemorrhagic fever with renal syndrome when delayed symmetrical limb paralysis occurs. Until recent now, GBS was only reported in hemorrhagic fever patients in Europe and Asia, which termed as hemorrhagic fever with renal syndrome.
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页数:4
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