Itamura Shinji, Izumo Hiroki, Ono Hiroaki
Department of Pediatrics, Hiroshima Prefectural Hospital.
Rinsho Shinkeigaku. 2022 Apr 27;62(4):301-304. doi: 10.5692/clinicalneurol.cn-001702. Epub 2022 Mar 29.
A 9-year-old girl was admitted to our hospital with severe plantar pain, 7 days after the onset of Campylobacter jejuni enteritis. On admission, extremity strength and the deep tendon reflex were normal; however, there was difficulty in walking owing to plantar pain. Motor nerve conduction test showed no abnormalities. No spinal cord protein cell dissociation. Lumbar spine-enhanced MRI showed a 4th and 5th lumbar vertebrae nerve root contrast-enhanced effect. Gabapentin was effective in minimizing her pain, eventually enabling the patient to walk. Antiganglioside antibody tests on admission showed multiple positive results. Six months after the initial onset of symptoms, she had recovered completely. She was suspected with sensory Guillain-Barré syndrome (GBS). GBS subsequent to Campylobacter jejuni enteritis has been recognized as an acute motor axonal neuropathy; hence, this report is considered to be valuable.
一名9岁女孩在空肠弯曲菌肠炎发病7天后因严重足底疼痛入院。入院时，肢体力量和腱反射正常；然而，由于足底疼痛，行走困难。运动神经传导测试未显示异常。无脊髓蛋白细胞分离。腰椎增强MRI显示第4和第5腰椎神经根有对比增强效应。加巴喷丁在减轻她的疼痛方面有效，最终使患者能够行走。入院时抗神经节苷脂抗体测试显示多项阳性结果。症状首次出现6个月后，她已完全康复。她被怀疑患有感觉性吉兰-巴雷综合征（GBS）。空肠弯曲菌肠炎后的GBS已被确认为急性运动轴索性神经病；因此，本报告被认为具有价值。
