Payus Alvin Oliver, Ibrahim Azliza, Liew Sat Lin Constance, Hui Jan Tan
Faculty of Medicine and Health Science, Universiti Malaysia Sabah (UMS), Kota Kinabalu, Malaysia.
Department of Neurology, Hospital Pengajar Universiti Putra Malaysia, Serdang, Malaysia.
Case Rep Neurol. 2022 Jun 17;14(2):281-285. doi: 10.1159/000524865. eCollection 2022 May-Aug.
Guillain-Barre syndrome is an acute demyelinating polyneuropathy disease which is autoimmune in nature and usually follows gastrointestinal or respiratory infections. Dengue fever is however not a common trigger to the condition. Here, we report a patient who developed sensory predominant demyelinating polyradiculopathy during febrile phase of dengue fever. It was later confirmed with serology test and nerve conduction study. He was successfully treated with intravenous immunoglobulin and discharged home well. The purpose of this case report is to highlight that Guillain-Barré syndrome can occur as an uncommon neurological complication of dengue fever which can occur during any phase of the illness.
格林-巴利综合征是一种急性脱髓鞘性多发性神经病,本质上是自身免疫性疾病,通常继发于胃肠道或呼吸道感染。然而,登革热并非该病症的常见诱发因素。在此,我们报告一名患者,其在登革热发热期出现了以感觉为主的脱髓鞘性多发性神经根病。随后通过血清学检测和神经传导研究得以确诊。他接受静脉注射免疫球蛋白治疗后康复良好并出院。本病例报告的目的是强调格林-巴利综合征可作为登革热一种罕见的神经系统并发症出现,且可在疾病的任何阶段发生。