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儿童新冠病毒感染后吉兰-巴雷综合征

Guillan barre syndrome in post Covid-19 infection in children.

作者信息

El Mezzeoui Sanae, Aftiss Fatima Zahra, Aabdi Mohammed, Bkiyar Houssam, Housni Brahim

机构信息

Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University Mohammed I Oujda, Morocco.

Simulation Center for Medical Formation, Morocco.

出版信息

Ann Med Surg (Lond). 2021 Jul;67:102524. doi: 10.1016/j.amsu.2021.102524. Epub 2021 Jun 20.

Abstract

INTRODUCTION

Guillain-Barre syndrome (GBS) is an inflammatory poly-radiculoneuropathy occurring usually two weeks after a viral infection.Covid-19 infection represent with respiratory symptoms, but it might manifests with extra pulmonary symptoms, and especially neurological including Guillain-Barre syndrom.

CASE REPORT

A 3 years old female patient admitted to the intensive care unit for an acute symmetric and progressive ascending quadriparesis two weeks after an upper respiratory infection, the diagnosis of post covid GBS was maintained, and the evolution was favorable after intraveneous immunoglobulins.

CONCLUSION

This case report suggest the probable causal link between COVID 19 and GBS.

摘要

引言

吉兰-巴雷综合征(GBS)是一种炎症性多神经根神经病,通常在病毒感染两周后发生。新冠病毒感染以呼吸道症状为表现,但也可能出现肺外症状,尤其是包括吉兰-巴雷综合征在内的神经系统症状。

病例报告

一名3岁女性患者因上呼吸道感染两周后出现急性对称性进行性上升性四肢瘫而入住重症监护病房,维持新冠后吉兰-巴雷综合征的诊断,静脉注射免疫球蛋白后病情好转。

结论

本病例报告提示新冠病毒与吉兰-巴雷综合征之间可能存在因果关系。

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