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溃疡性结肠炎和新型冠状病毒感染并发吉兰-巴雷综合征:一例报告及文献综述

Guillain-Barré syndrome in ulcerative colitis and SARS-CoV-2 infection: a case report and literature review.

作者信息

Ayadi Shema, Hammouga Rabeb, Slim Majoul Mohamed, Jamoussi Hela, Zaimi Yosra, Mensi Asma, Fredj Mohamed, Mouelhi Leila

机构信息

Gastroenterology Department, Charles Nicolle University Hospital, Tunis, Tunisia.

Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

出版信息

Future Sci OA. 2024 May 20;10(1):FSO913. doi: 10.2144/fsoa-2023-0125. eCollection 2024.

Abstract

Guillain-Barré syndrome (GBS) occurrence is rare during inflammatory bowel disease (IBD) and SARS-CoV-2 infection. Its association with thrombotic vascular events, which are common during these two entities, is extremely rare. We report an exceptional association of GBS and cerebral venous thrombosis in a 28-year-old woman with active ulcerative colitis and no previous history of SARS-CoV-2 vaccination. Mildly symptomatic SARS-CoV-2 infection was diagnosed during etiological investigations of cerebral venous thrombosis. GBS symptoms began 10 days later with clinical and electrical abnormalities consistent with axonal GBS. Other GBS causes were excluded. Favorable outcomes were noted after intravenous immunoglobulin perfusion with full recovery 12 months later. Greater attention should be focused on IBD patients with SARS-CoV-2 infection regardless of its severity.

摘要

吉兰 - 巴雷综合征(GBS)在炎症性肠病(IBD)和严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染期间很少发生。它与这两种疾病中常见的血栓性血管事件的关联极为罕见。我们报告了一名28岁患有活动性溃疡性结肠炎且既往无SARS-CoV-2疫苗接种史的女性,出现了GBS与脑静脉血栓形成的罕见关联。在脑静脉血栓形成的病因调查期间诊断出轻度症状性SARS-CoV-2感染。10天后出现GBS症状,临床和电生理异常符合轴索性GBS。排除了其他GBS病因。静脉注射免疫球蛋白灌注后效果良好,12个月后完全康复。无论SARS-CoV-2感染的严重程度如何,都应更加关注患有该感染的IBD患者。

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本文引用的文献

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