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早期莱姆病相关的格林-巴利综合征:一例报告。

Early Lyme disease-associated Guillain Barre Syndrome: A case report.

作者信息

Schrestha K, Kadkhoda K

机构信息

Infectious Diseases Division, Akron General, Cleveland Clinic, Cleveland, OH, USA.

Immunopathology Laboratory, Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

IDCases. 2022 Jan 31;27:e01432. doi: 10.1016/j.idcr.2022.e01432. eCollection 2022.

Abstract

Lyme disease is the most common tick-borne disease in the United States. Left untreated, it can lead to neuroborreliosis. Here we describe a case of early disseminated Lyme disease-associated Guillain Barre Syndrome in a previously healthy adult that early clinical suspicion and accurate testing led to proper diagnosis and case management. It is important to be aware of Guillain Barre Syndrome as an early consequence of Lyme disease especially during tick activity season. This case report is meant to raise awareness among clinicians and calls for protective measures especially where there is significant outdoor activity.

摘要

莱姆病是美国最常见的蜱传疾病。若不治疗,可能会导致神经型莱姆病。在此,我们描述一例先前健康的成年人发生的早期播散性莱姆病相关格林-巴利综合征,早期临床怀疑和准确检测促成了正确诊断和病例管理。尤其在蜱虫活跃季节,认识到格林-巴利综合征是莱姆病的早期后果很重要。本病例报告旨在提高临床医生的认识,并呼吁采取保护措施,特别是在有大量户外活动的地方。

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本文引用的文献

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Guillain-Barré syndrome.格林-巴利综合征。
Lancet. 2021 Mar 27;397(10280):1214-1228. doi: 10.1016/S0140-6736(21)00517-1. Epub 2021 Feb 26.
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The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant.终极扑克脸:格林-巴利综合征变异型面部双侧瘫病例报告
Clin Pract Cases Emerg Med. 2020 Apr 23;4(2):150-153. doi: 10.5811/cpcem.2020.2.45556. eCollection 2020 May.
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Diagnosis and management of Guillain-Barré syndrome in ten steps.吉兰-巴雷综合征的诊断和管理十步骤。
Nat Rev Neurol. 2019 Nov;15(11):671-683. doi: 10.1038/s41582-019-0250-9. Epub 2019 Sep 20.
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Clinical association: Lyme disease and Guillain-Barre syndrome.临床关联:莱姆病与吉兰-巴雷综合征。
Am J Emerg Med. 2017 Oct;35(10):1583.e1-1583.e2. doi: 10.1016/j.ajem.2017.07.030. Epub 2017 Jul 8.

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