恙虫病后格林-巴利综合征：病例报告及文献复习。
Guillain-Barre syndrome following scrub typhus: a case report and literature review.
机构信息
Department of Neurology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, P. R. China.
出版信息
BMC Neurol. 2024 Apr 25;24(1):137. doi: 10.1186/s12883-024-03645-9.
BACKGROUND
Scrub typhus is an acute infectious disease caused by Orientia tsutsugamushi. Guillain-Barre syndrome (GBS) is an autoimmune-mediated peripheral neuropathy with a frequent history of prodromal infections, but GBS associated with scrub typhus is very rare.
CASE PRESENTATION
We report a 51-year-old male patient who developed dysarthria and peripheral facial paralysis following the cure of scfrub typhus. CSF examination and electrophysiological findings suggested a diagnosis of GBS. After treatment with intravenous immunoglobulin, the patient's neurological condition improved rapidly.
CONCLUSIONS
Scrub typhus infection is likely to be a potential predisposing factor in GBS, while scrub typhus-associated GBS has a favorable prognosis.
背景
恙虫病是由恙虫东方体引起的急性传染病。吉兰-巴雷综合征（GBS）是一种自身免疫介导的周围神经病，常伴有前驱感染史，但与恙虫病相关的 GBS 非常罕见。
病例介绍
我们报告了一例 51 岁男性患者，在恙虫病治愈后出现构音障碍和周围性面瘫。CSF 检查和电生理检查结果提示 GBS 诊断。患者接受静脉注射免疫球蛋白治疗后，神经功能迅速改善。
结论
恙虫病感染可能是 GBS 的潜在诱发因素，而恙虫病相关的 GBS 预后良好。
Zotero 插件