Coste S, De Greslan T, Renard J L, Béquet D, Felten D
Service de Neurologie, Hôpital du Val-de-Grâce, Paris, France.
Rev Neurol (Paris). 2002 Mar;158(3):361-3.
A 36-year-old woman presented acute polyradiculoneuropathy following Chlamydia pneumoniae infection. Although electrophysiologic studies were normal, clinical features were typical of Guillain-Barré syndrome (GBS). Anti-ganglioside GM1 antibodies were positive. Two other cases of GBS following Chlamydia pneumoniae infection have been reported, but no specific feature emerges. Outcome was good in our patient after intravenous globulin then antibiotic therapy. Our case supports the notion that Chlamydia pneumoniae infection can induce GBS. The association is probably underestimated.
一名36岁女性在感染肺炎衣原体后出现急性多发性神经根神经病。尽管电生理检查正常,但临床特征符合吉兰-巴雷综合征(GBS)。抗神经节苷脂GM1抗体呈阳性。此前已有另外两例肺炎衣原体感染后发生GBS的病例报道,但未发现特异性特征。我们的患者在接受静脉注射球蛋白及抗生素治疗后预后良好。我们的病例支持肺炎衣原体感染可诱发GBS这一观点。这种关联可能被低估了。