RESUMO
A 44 year old female presented with fever, muscle aches, rash and a low platelet count. IgM antibody to dengue virus was positive. Two weeks later she developed a flaccid areflexic quadriparesis. Nerve conduction studies showed a predominantly demyelitinating sensory motor polyneuropathy consistent with Guillain-Barre syndrome. Despite the relatively common occurence of dengue fever, an associated polyradiculoneuropathy is distinctly uncommon.(AU)
Assuntos
Adulto , Relatos de Casos , Feminino , Humanos , Dengue/complicações , Polirradiculoneuropatia/etiologia , Anticorpos Antivirais/análise , Doenças Desmielinizantes/fisiopatologia , Dengue/sangue , Dengue/imunologia , Imunoglobulina M/análise , Condução Nervosa/fisiologia , Contagem de Plaquetas , Polirradiculoneuropatia/fisiopatologia , Reflexo Anormal/fisiologiaRESUMO
Jamaican neuropathy (JN) is a common disorder in Jamaica and has characteristics similar to neurological diseases found in other tropical areas. JN is a clinical syndrome and occurs in two forms: spastic and ataxic. This is the first known electrophysiological study of this disease. In the spastic group of JN, peripheral electrophysiological findings were mostly normal, suggesting a central cause for their symptoms. The only patient with the ataxic form of JN had a chronic axonal peripheral neuropathy. (AU)
