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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.

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。

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