scholarly journals Guillain–Barré Syndrome Secondary to West Nile Virus in New York City

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Rafail Beshai ◽  
Daniel Bibawy ◽  
Joseph Bibawy
Keyword(s):  
New York ◽  
West Nile Virus ◽  
Culex Pipiens ◽  
Early Stage ◽  
Guillain Barre Syndrome ◽  
West Nile ◽  
Uncommon Presentation ◽  
Number Of Patients ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

West Nile virus (WNV) is an arthropod-borne flavivirus belonging taxonomically to the Japanese encephalitis subgroup. Usually, it is transmitted by Culex pipiens mosquitoes. Consequently, an increase in WNV-positive mosquitoes presents a rise of the number of patients, as it has been seen in NYC. We present a 65-year-old patient with WNV infection who presented with Guillain–Barré syndrome (GBS). She had a rapidly progressing ascending paralysis, a common feature in GBS patients but an uncommon presentation in WNV. Realizing WNV as an emerging pathogen along with its uncommon presentation of GBS can be potentially lifesaving if caught at an early stage.

Guillain-Barre syndrome: An unusual presentation of West Nile virus infection

Neurology ◽  
2000 ◽  
Vol 55 (1) ◽  
pp. 144-146 ◽  
Author(s):  
S. Ahmed ◽  
R. Libman ◽  
K. Wesson ◽  
F. Ahmed ◽  
K. Einberg
Keyword(s):  
West Nile Virus ◽  
Virus Infection ◽  
West Nile Virus Infection ◽  
Unusual Presentation ◽  
Guillain Barre Syndrome ◽  
West Nile ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Virus Zika (ZIKV): Struktur, Patogenesis, Diagnosis Laboratorium, dan Pencegahan

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Luh Ade Wilan Krisna
Keyword(s):  
West Nile Virus ◽  
Dengue Virus ◽  
Japanese Encephalitis ◽  
Zika Virus ◽  
Guillain Barre Syndrome ◽  
West Nile ◽  
Guillain Barré Syndrome ◽  
Virus West Nile ◽  
Virus Zika ◽  
Guillain Barré

Virus Zika (ZIKV) adalah flavivirus yang berhubungan dengan dengue, virus demam kuning, virus Japanese encephalitis dan virus west nile. Virus tersebut menyebabkan infeksi melalui gigitan nyamuk yang dikenal sebagai demam zika atau penyakit zika. Virus zika baru-baru ini menarik perhatian dunia pada pertengahan tahun 2016 karena adanya explosive pandemic di berbagai negara, termasuk di Indonesia. Penelitian telah menemukan bukti bahwa Zika dapat berhubungan dengan cacat kelahiran dan kondisi syaraf seperti microcephaly dan sindrom Guillain-Barre pada orang dewasa. Kata kunci: Zika virus, flavivirus, microcephaly, Guillain-Barre Syndrome

scholarly journals Study on Guillain-Barré Syndrome in A Tertiary Level Military Hospital

2021 ◽  
Vol 16 (2) ◽  
pp. 44-46
Author(s):  
Md Helal Uddin ◽  
ATM Humayun Kabir ◽  
Md Ismail Chowdhury ◽  
Farzana Zafreen
Keyword(s):  
Mechanical Ventilation ◽  
Electrophysiological Study ◽  
Laboratory Data ◽  
Guillain Barre Syndrome ◽  
Military Hospital ◽  
Upper Respiratory Tract ◽  
Intravenous Immunoglobulin Therapy ◽  
Number Of Patients ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Introduction: Guillain-Barre Syndrome (GBS) is an acute, frequently severe and fulminant polyradiculopathy that is autoimmune in nature and that causes acute neuromascular failure. The condition is quite common in Bangladesh. GBS is an autoimmune and post-infectious immune disease. Objectives: To see the different presentation and outcome of GBS in combined military hospital (CMH) Dhaka. Materials and Methods: This was a retrospective observational study conducted on all the GBS patients admitted in the Neurology Ward of CMH Dhaka from January 2005 to July 2010. Total 25 patients clinical and laboratory data including CSF analysis, electrophysiological study data were collected from patients’ case sheet. Results: Among the 25 GBS patients male was 22 (88%) and female 03(12%) and most common age group affected was 31-40 years comprising of 09(36%) patients. The most common types of GBS patients were acute inflammatory demyelinating polyneuropathy (AIDP) 17(68%) patients and 10(40%) patients were found to have history of upper respiratory tract infection (URTI). Albuminocytological dissociation was found in 20(80%) patients in CSF study. Intravenous immunoglobulin therapy was given to 13(52%) patients, of them 09(36%) patient needed mechanical ventilation; rest 12(48%) patients were treated conservatively. The final outcome was full recovery 22(88%) patients, 02(8%) patients had residual disability and only one patient died after 2 years of GBS. Conclusion: GBS is an important cause of peripheral neuropathy. Patient should be monitored carefully because a significant number of patients ultimately require mechanical ventilation for respiratory failure which may be of sudden onset. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 44-46

scholarly journals Paralytic ileus as the presenting symptom for Guillain–Barré syndrome: a case report

2019 ◽  
Vol 48 (4) ◽  
pp. 030006051989316
Author(s):  
Kuang-Heng Lee ◽  
Tsung-Han Ho ◽  
Jiunn-Tay Lee ◽  
Li-Fan Lin ◽  
Wei-Chou Chang ◽  
...  
Keyword(s):  
Paralytic Ileus ◽  
Early Recognition ◽  
Early Stage ◽  
Immunoglobulin Therapy ◽  
Guillain Barre Syndrome ◽  
Rapid Progression ◽  
Limb Weakness ◽  
Intravenous Immunoglobulin Therapy ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Guillain–Barré syndrome (GBS) is an acute neuroimmunological disorder characterized by rapidly ascending symmetrical limb weakness, areflexia, and sensory deficits. Approximately 65% of patients with GBS present with autonomic dysfunction, which commonly occurs in advanced stages. However, paralytic ileus, a sign of gastrointestinal dysautonomia, is rare as the presenting feature in GBS before motor weakness becomes evident. We report the case of a 54-year-old man admitted to the Emergency Department with paralytic ileus as the prodromal feature in early-stage GBS. Total parenteral feeding and prokinetic use were initiated, but no clinical improvement was observed. The patient showed rapid progression to quadriplegia, which was ultimately determined to be respiratory muscle failure requiring mechanical ventilation and intensive care unit admission. He underwent 5 days of intravenous immunoglobulin therapy and muscle strength was partially improved thereafter. However, the patient’s enteral nutritional support was undesirable because of persistent poor gastric emptying complicated by fungemia and profound sepsis throughout the hospital course. Finally, he died 1 month after admission. Ignorance of this unusual prodrome to GBS could result in delayed treatment, along with potential progression to life-threatening events. Early recognition of GBS and prompt immunotherapy are critical for reducing morbidity and mortality.

scholarly journals Hyperreflexia ? an Uncommon Presentation of Guillain-Barré Syndrome

2017 ◽  
Vol 7 (2) ◽  
pp. 111-112
Author(s):  
NS Neki ◽  
Gagandeep Singh Shergill ◽  
Amanpreet Kaur
Keyword(s):  
Cerebrospinal Fluid ◽  
Nerve Conduction Study ◽  
Clinical Findings ◽  
Acute Onset ◽  
Guillain Barre Syndrome ◽  
Motor Weakness ◽  
Uncommon Presentation ◽  
Guillain Barré Syndrome ◽  
Guillain Barré ◽  
European Populations

Guillain-Barré syndrome (GBS) is an acquired acute autoimmune polyradiculoneuropathy. Progressive motor weakness and areflexia are essential for diagnosis. But in some cases hyperreflexia can be seen. Diagnosis of GBS was made based on history and clinical findings and was supported by cerebrospinal fluid (CSF) studies and nerve conduction study (NCS). We hereby report a case of a 42-year-old male presenting with acute onset flaccid quadriparesis. There was frank hyperreflexia in all four limbs. Although reflex preservation and hyperreflexia can be noted in axonal variant of GBS in Chinese, Japanese, and European populations, it is uncommon in India.J Enam Med Col 2017; 7(2): 111-112

Bilateral claw hand: An uncommon presentation of regional Guillain-Barré syndrome

2013 ◽  
Vol 334 (1-2) ◽  
pp. 24-25 ◽  
Author(s):  
Georgios Tsivgoulis ◽  
Soultana Tsakaldimi ◽  
Konstantinos Vadikolias ◽  
Michalis Mantatzis ◽  
Aristeidis H. Katsanos ◽  
...  
Keyword(s):  
Guillain Barre Syndrome ◽  
Uncommon Presentation ◽  
Guillain Barré Syndrome ◽  
Guillain Barré
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