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本文引用的文献

1
Guillain-Barré syndrome following varicella-zoster virus infection: a case report and systematic review.水痘-带状疱疹病毒感染后格林-巴利综合征:一例病例报告及系统评价
Ann Med Surg (Lond). 2023 Oct 4;85(11):5621-5628. doi: 10.1097/MS9.0000000000001370. eCollection 2023 Nov.
2
Multiple coinfections and Guillain Barré syndrome following outdoor travel to the American Northeast.前往美国东北部进行户外旅行后出现多重合并感染和吉兰-巴雷综合征。
Proc (Bayl Univ Med Cent). 2023 Jan 25;36(3):386-388. doi: 10.1080/08998280.2023.2167049. eCollection 2023.
3
Triggers of Guillain-Barré Syndrome: Predominates.吉兰-巴雷综合征的诱因:主要为。
Int J Mol Sci. 2022 Nov 17;23(22):14222. doi: 10.3390/ijms232214222.
4
Global, regional, and national burden of Guillain-Barré syndrome and its underlying causes from 1990 to 2019.全球、区域和国家 1990 年至 2019 年吉兰-巴雷综合征及其根本病因的负担。
J Neuroinflammation. 2021 Nov 11;18(1):264. doi: 10.1186/s12974-021-02319-4.
5
Case of ehrlichiosis induced Guillain-Barre Syndrome in a 71 year-old female.一名71岁女性患埃里希体病诱发格林-巴利综合征的病例。
IDCases. 2021 Oct 5;26:e01301. doi: 10.1016/j.idcr.2021.e01301. eCollection 2021.
6
Characterization of adult patients with Guillain-Barré syndrome during the arboviral infection outbreaks in Honduras.洪都拉斯虫媒病毒感染暴发期间吉兰-巴雷综合征成年患者的特征。
J Neurol Sci. 2021 Aug 15;427:117551. doi: 10.1016/j.jns.2021.117551. Epub 2021 Jun 21.
7
Incidence of Guillain-Barré Syndrome (GBS) in Latin America and the Caribbean before and during the 2015-2016 Zika virus epidemic: A systematic review and meta-analysis.拉丁美洲和加勒比地区 2015-2016 年寨卡病毒流行前后吉兰-巴雷综合征(GBS)的发病率:系统评价和荟萃分析。
PLoS Negl Trop Dis. 2019 Aug 26;13(8):e0007622. doi: 10.1371/journal.pntd.0007622. eCollection 2019 Aug.
8
Guillain-Barré syndrome.吉兰-巴雷综合征
N Engl J Med. 2012 Jun 14;366(24):2294-304. doi: 10.1056/NEJMra1114525.
9
Population incidence of Guillain-Barré syndrome: a systematic review and meta-analysis.人群中格林-巴利综合征的发病率:一项系统评价和荟萃分析。
Neuroepidemiology. 2011;36(2):123-33. doi: 10.1159/000324710. Epub 2011 Mar 21.
10
Seroprevalence of various infectious agents in dogs with suspected acute canine polyradiculoneuritis.疑似急性犬多发性神经病犬中各种传染性病原体的血清流行率。
J Vet Intern Med. 2011 Mar-Apr;25(2):261-6. doi: 10.1111/j.1939-1676.2011.0692.x. Epub 2011 Feb 25.

一名63岁患者的吉兰-巴雷综合征可能由埃立克体病引发。病例报告。

Guillain-Barré syndrome in a 63-year-old patient possibly triggered by ehrlichiosis. Case report.

作者信息

Mejía-Irías Carlos, Hernández-Posadas Jaqueline, Zapata Meyling, Mercadal Nelson

机构信息

Centro Médico Olanchano (CMO), Olancho, Juticalpa, Honduras.

出版信息

IJID Reg. 2024 Aug 13;12:100422. doi: 10.1016/j.ijregi.2024.100422. eCollection 2024 Sep.

DOI:10.1016/j.ijregi.2024.100422
PMID:39295840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11407967/
Abstract

Guillain-Barré syndrome is an immune-mediated acute demyelinating polyradiculoneuropathy, characterized by progressive flaccid weakness, triggered mainly by respiratory and gastrointestinal infections. We present the case of a 63-year-old male patient with a history of infection, who consulted the internal medicine emergency department for lower back pain and progressive lower limb paresthesia, accompanied by decreased lower limb strength and nerve conduction velocity test, with results compatible with acute demyelinating sensorimotor polyradiculoneuropathy. To the best of our knowledge, this is the first documented case in Honduran medical literature; in our research, no other cases were found in Latin America or Europe. The importance of the topic and its dissemination in countries where infection exists is that when cases of Guillain-Barré syndrome that cannot be associated with previous gastrointestinal or respiratory infection, they could be attributed to infection as a possible cause; therefore, exhaustive preventive measures can be established regarding the transmitting vector of ehrlichiosis.

摘要

吉兰 - 巴雷综合征是一种免疫介导的急性脱髓鞘性多发性神经根神经病,其特征为进行性弛缓性肌无力,主要由呼吸道和胃肠道感染引发。我们报告一例63岁男性患者,有感染病史,因下背部疼痛和进行性下肢感觉异常到内科急诊科就诊,伴有下肢力量减弱和神经传导速度测试,结果符合急性脱髓鞘性感觉运动性多发性神经根神经病。据我们所知,这是洪都拉斯医学文献中首例有记录的病例;在我们的研究中,在拉丁美洲或欧洲未发现其他病例。该主题在存在感染的国家的重要性及其传播意义在于,当吉兰 - 巴雷综合征病例无法与先前的胃肠道或呼吸道感染相关联时,它们可能归因于感染作为可能原因;因此,可以针对埃立克体病的传播媒介制定详尽的预防措施。