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噬菌体免疫沉淀测序在诊断1例吉兰-巴雷综合征潜在病因肠道病毒D68中的临床应用

Clinical Application of Phage Immunoprecipitation Sequencing to Diagnose Enterovirus D68 as the Underlying Etiology in a Case of Guillain-Barré Syndrome.

作者信息

Li Fang Fang, Faber Alison, Caleta Jessica M, Goldfarb David M, Sekirov Inna, Prystajecky Natalie A, Srigley Jocelyn A, Mishaal Ram, Jassem Agatha N

机构信息

Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

J Infect Dis. 2025 Feb 20;231(2):490-494. doi: 10.1093/infdis/jiae411.

Abstract

Guillain-Barré syndrome (GBS) is an acute peripheral neuropathy often preceded by respiratory or gastrointestinal infections, though molecular testing of cerebrospinal fluid is often inconclusive. In a recent case of severe pediatric GBS in British Columbia, Canada, we detected cerebrospinal fluid antibodies against enterovirus D to link GBS with prior enterovirus D68 respiratory infection.

摘要

吉兰-巴雷综合征(GBS)是一种急性周围神经病变,通常在呼吸道或胃肠道感染后出现,尽管脑脊液的分子检测结果往往不明确。在加拿大不列颠哥伦比亚省最近一例严重的儿童GBS病例中,我们检测到脑脊液中存在抗肠道病毒D的抗体,从而将GBS与先前的肠道病毒D68呼吸道感染联系起来。

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本文引用的文献

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Diagnostic Testing of Neurologic Infections.神经感染的诊断检测。
Neurol Clin. 2018 Nov;36(4):687-703. doi: 10.1016/j.ncl.2018.07.004.
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Guillain-Barré syndrome.格林-巴利综合征。
Lancet. 2016 Aug 13;388(10045):717-27. doi: 10.1016/S0140-6736(16)00339-1. Epub 2016 Mar 2.

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