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一名儿科患者因急性甲型肝炎感染引发的罕见格林-巴利综合征:病例报告及文献复习

A rare kind of Guillain-Barre syndrome triggered by acute hepatitis A infection in a pediatric patient: a case report and review of literature.

作者信息

Shahabinejad Erfan, Shakoeizadeh Amirreza, Vakilian Alireza, Alipour Seyyed Mohammad, Jalali Fatemeh, Ebrahimi Faezeh, Mashyekhi Narges

机构信息

Student Research Committee, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

USERN Office, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

出版信息

J Neurovirol. 2024 Dec;30(5-6):559-564. doi: 10.1007/s13365-024-01237-4. Epub 2024 Nov 19.

DOI:10.1007/s13365-024-01237-4
PMID:39562419
Abstract

Guillain-Barre Syndrome (GBS) is a rare but serious neurological disorder characterized by acute flaccid paralysis and areflexia, usually after an infectious disease. This case report describes a previously healthy 9-year-old boy who developed GBS following an acute hepatitis A infection. The patient presented with rapidly progressive weakness, ascending paralysis, and areflexia, confirmed by clinical and electrophysiological findings. Results were consistent with the GBS subgroup of Acute Motor Axonal Neuropathy. Treatment with intravenous immunoglobulin (IVIG) led to gradual improvement, highlighting the importance of early recognition and intervention. This report reviews the current literature on the association between GBS and hepatitis A, emphasizing the rarity of such cases in pediatric populations. The report aims to raise awareness among clinicians about this potential complication of hepatitis A, underscoring the need for prompt diagnosis and treatment to improve outcomes in similar cases. The report emphasizes the need for prompt diagnosis and treatment to improve outcomes in similar cases.

摘要

吉兰-巴雷综合征(GBS)是一种罕见但严重的神经系统疾病,通常在感染性疾病后出现,其特征为急性弛缓性麻痹和腱反射消失。本病例报告描述了一名此前健康的9岁男孩,在急性甲型肝炎感染后患上了GBS。患者表现为迅速进展的肌无力、上行性麻痹和腱反射消失,临床和电生理检查结果证实了这一点。结果与急性运动轴索性神经病这一GBS亚组相符。静脉注射免疫球蛋白(IVIG)治疗导致病情逐渐改善,突出了早期识别和干预的重要性。本报告回顾了关于GBS与甲型肝炎之间关联的当前文献,强调了此类病例在儿科人群中的罕见性。该报告旨在提高临床医生对甲型肝炎这种潜在并发症的认识,强调在类似病例中需要及时诊断和治疗以改善预后。该报告强调在类似病例中需要及时诊断和治疗以改善预后。

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A rare kind of Guillain-Barre syndrome triggered by acute hepatitis A infection in a pediatric patient: a case report and review of literature.一名儿科患者因急性甲型肝炎感染引发的罕见格林-巴利综合征:病例报告及文献复习
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本文引用的文献

1
Guillain-Barré syndrome as clinical presentation of a recently acquired hepatitis C.以吉兰-巴雷综合征为首发表现的丙型肝炎。
J Neurovirol. 2023 Oct;29(5):640-643. doi: 10.1007/s13365-023-01167-7. Epub 2023 Aug 30.
2
Acute motor axonal neuropathy associated with the Pfizer SARS-CoV-2 vaccine.与辉瑞新冠病毒疫苗相关的急性运动轴索性神经病。
Neurol Perspect. 2022 Oct-Dec;2(4):259-262. doi: 10.1016/j.neurop.2022.06.005. Epub 2022 Jul 9.
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Guidelines for Neuroprognostication in Adults with Guillain-Barré Syndrome.成人吉兰-巴雷综合征神经预后指南。
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Demographics, clinical characteristics, and recurrence rate of patients with primary spontaneous pneumothorax at a tertiary care center in Qatar.卡塔尔一家三级医疗中心原发性自发性气胸患者的人口统计学、临床特征及复发率
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A 30-Year-Old Man with Acute Motor Axonal Neuropathy Subtype of Guillain-Barré Syndrome Having Hepatitis A Virus Infection.一名患有甲型肝炎病毒感染的吉兰-巴雷综合征急性运动轴索性神经病亚型的30岁男性。
Middle East J Dig Dis. 2019 Apr;11(2):110-115. doi: 10.15171/mejdd.2018.136. Epub 2019 Feb 21.
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Pharyngeal-cervical-brachial variant of pediatric Guillain-Barré syndrome with antecedent acute hepatitis A virus infection.伴有甲型肝炎病毒前驱感染的小儿吉兰-巴雷综合征咽颈臂型变异型
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[A case of acute hepatitis a complicated by Guillain-Barré syndrome].1例急性甲型肝炎并发吉兰-巴雷综合征
Korean J Hepatol. 2007 Jun;13(2):228-33.