[A case of Guillain-Barré syndrome following hepatitis E virus infection].
Rinsho Shinkeigaku
; 61(12): 869-873, 2021 Dec 22.
Article
en Ja
| MEDLINE
| ID: mdl-34789632
ABSTRACT
An 81-year-old man presented with limb weakness and dysesthesia approximately 10 days after eating pork liver. His neurological examination revealed muscle weakness predominantly centered in the lower limbs and absence of deep tendon reflex, and cerebrospinal fluid analysis showed elevated proteins with normal cell counts. Furthermore, his nerve conduction studies revealed distal motor latency prolongation and decreased motor nerve conduction velocities in the bilateral median, ulnar, tibial, and peroneal nerves. Lastly, serological analysis was performed for hepatitis E virus markers, resulting in a positive result for hepatitis E virus (HEV)-IgA antibody and HEV-RNA. Given all these findings, the patient was diagnosed with acute HEV-associated Guillain-Barré syndrome (GBS), and intravenous immunoglobulin treatment was administered for five days. Following this, muscle weakness and dysesthesia gradually improved. As observed in this report, the number of HEV-associated GBS cases has been increasing over the past several years. Therefore, HEV infection should be considered in GBS patients who have a history of pork consumption or have been suffering from liver dysfunction.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Virus de la Hepatitis E
/
Hepatitis E
/
Síndrome de Guillain-Barré
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Aged80
/
Humans
/
Male
Idioma:
Ja
Revista:
Rinsho Shinkeigaku
Año:
2021
Tipo del documento:
Article