格林-巴利综合征合并恶性疟原虫疟疾和恙虫病混合感染——一种不寻常的组合
Guillain-Barre Syndrome with Falciparum Malaria and Scrub Typhus Mixed Infection-An Unusual Combination.
作者信息
Gangula Rahul Sai, Stanley Weena, Vandanapu Arunsheshu, Prabhu M Mukhyaprana
机构信息
Junior Resident, Department of Medicine, Kasturba Hospital, Manipal University, Manipal, Karnataka, India.
Associate Professor, Department of Medicine, Kasturba Hospital, Manipal University, Manipal, Karnataka, India.
出版信息
J Clin Diagn Res. 2017 Sep;11(9):OD10-OD11. doi: 10.7860/JCDR/2017/28390.10629. Epub 2017 Sep 1.
Abstract
Guillain-Barre Syndrome is very rare in parasitic and rickettsial infection. Here we report a case of Plasmodium falciparum and scrub typhus mixed infection, presented with quadriparesis. Clinical, Serological, CSF analysis and Nerve Conduction Studies were consistent with Acute Inflammatory Demyelinating Polyneuropathy (variant of GBS). After administration of antimalarials and antibiotics for the mixed infection, patient gradually improved.
摘要
格林-巴利综合征在寄生虫和立克次体感染中非常罕见。在此，我们报告一例恶性疟原虫和恙虫病混合感染病例，该病例表现为四肢无力。临床、血清学、脑脊液分析及神经传导研究结果均符合急性炎症性脱髓鞘性多发性神经病（格林-巴利综合征的一种变体）。在给予针对混合感染的抗疟药和抗生素治疗后，患者逐渐康复。
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