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一名感染肺吸虫的男孩患格林-巴利综合征:病例报告及文献综述

Guillain-Barré Syndrome in a Boy With Lung Fluke Infection: Case Report and Literature Review.

作者信息

Yang Cui-Wei, Gao Feng, Xia Zhe-Zhi

机构信息

The Children's Hospital of Zhejiang University, School of Medicine Hangzhou, Hangzhou, China

The Children's Hospital of Zhejiang University, School of Medicine Hangzhou, Hangzhou, China.

出版信息

J Child Neurol. 2015 Aug;30(9):1208-10. doi: 10.1177/0883073814546689. Epub 2014 Sep 24.

Abstract

Guillain-Barré syndrome is the most common acute peripheral neuropathy in children in most countries. The cause and pathogenesis of the disease have yet to be clarified. There have been only a few reports of Guillain-Barré syndrome resulting from parasite infections worldwide, no cases of Guillain-Barré syndrome after lung fluke infection have been reported. We report a case of an 8-year-old male patient with Guillain-Barré syndrome after lung fluke infection. The child had a history of consumption of undercooked crabs. He was diagnosed with paragonimiasis. The patient experienced paralysis of and pain in the lower limbs about 3 weeks after symptom onset. Neurologic and electrophysiologic examination findings supported the diagnosis of Guillain-Barré syndrome. Parasitic infections should also be considered when determining which antecedent infection is associated with Guillain-Barré syndrome.

摘要

格林-巴利综合征是大多数国家儿童中最常见的急性周围神经病。该疾病的病因和发病机制尚未阐明。全球仅有少数关于寄生虫感染导致格林-巴利综合征的报道,尚无肺吸虫感染后发生格林-巴利综合征的病例报告。我们报告一例8岁男性患者在肺吸虫感染后发生格林-巴利综合征。该患儿有食用未煮熟螃蟹的病史。他被诊断为肺吸虫病。患者在症状出现约3周后出现下肢麻痹和疼痛。神经学和电生理学检查结果支持格林-巴利综合征的诊断。在确定与格林-巴利综合征相关的前驱感染时,也应考虑寄生虫感染。

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