Guillain-Barré syndrome in the course of dengue: case report

Detalhes bibliográficos
Autor(a) principal: Santos,Nilse Querino
Data de Publicação: 2004
Outros Autores: Azoubel,Ana Cláudia B., Lopes,Antonio Alberto, Costa,Gersonita, Bacellar,Aroldo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000100025
Resumo: This case report describes the findings of a 45-year-old white woman from Brazil, who developed myalgia, fever and macular rash. She was diagnosed as having dengue, based on clinical manifestations and specific IgM titers. One week after the first symptoms of dengue, the patient developed muscle weakness, followed by tetraplegia with areflexia, and respiratory insufficiency. The electromyography had evidence of demyelinating neuropathy and the cerebrospinal fluid showed albuminocytologic dissociation. These neurologic findings were consistent with the diagnosis of Guillain-Barré syndrome. The patient was treated with immunoglobulin and metylprednisolone. Mechanical ventilation was started one week after hospital admission and maintained for four weeks. After six weeks of hospitalization the patient was discharged from the hospital on wheel chair, presenting mild muscle weakness and loss of patellar and ankle reflexes. When the patient was seen at the outpatient service three weeks after hospital discharge she was able to walk with help. This case report suggests a possible association between dengue and Guillain-Barré syndrome.
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spelling Guillain-Barré syndrome in the course of dengue: case reportGuillain-Barré syndromedengueradiculoneuritisThis case report describes the findings of a 45-year-old white woman from Brazil, who developed myalgia, fever and macular rash. She was diagnosed as having dengue, based on clinical manifestations and specific IgM titers. One week after the first symptoms of dengue, the patient developed muscle weakness, followed by tetraplegia with areflexia, and respiratory insufficiency. The electromyography had evidence of demyelinating neuropathy and the cerebrospinal fluid showed albuminocytologic dissociation. These neurologic findings were consistent with the diagnosis of Guillain-Barré syndrome. The patient was treated with immunoglobulin and metylprednisolone. Mechanical ventilation was started one week after hospital admission and maintained for four weeks. After six weeks of hospitalization the patient was discharged from the hospital on wheel chair, presenting mild muscle weakness and loss of patellar and ankle reflexes. When the patient was seen at the outpatient service three weeks after hospital discharge she was able to walk with help. This case report suggests a possible association between dengue and Guillain-Barré syndrome.Academia Brasileira de Neurologia - ABNEURO2004-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000100025Arquivos de Neuro-Psiquiatria v.62 n.1 2004reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2004000100025info:eu-repo/semantics/openAccessSantos,Nilse QuerinoAzoubel,Ana Cláudia B.Lopes,Antonio AlbertoCosta,GersonitaBacellar,Aroldoeng2004-04-28T00:00:00Zoai:scielo:S0004-282X2004000100025Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2004-04-28T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Guillain-Barré syndrome in the course of dengue: case report
title Guillain-Barré syndrome in the course of dengue: case report
spellingShingle Guillain-Barré syndrome in the course of dengue: case report
Santos,Nilse Querino
Guillain-Barré syndrome
dengue
radiculoneuritis
title_short Guillain-Barré syndrome in the course of dengue: case report
title_full Guillain-Barré syndrome in the course of dengue: case report
title_fullStr Guillain-Barré syndrome in the course of dengue: case report
title_full_unstemmed Guillain-Barré syndrome in the course of dengue: case report
title_sort Guillain-Barré syndrome in the course of dengue: case report
author Santos,Nilse Querino
author_facet Santos,Nilse Querino
Azoubel,Ana Cláudia B.
Lopes,Antonio Alberto
Costa,Gersonita
Bacellar,Aroldo
author_role author
author2 Azoubel,Ana Cláudia B.
Lopes,Antonio Alberto
Costa,Gersonita
Bacellar,Aroldo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Santos,Nilse Querino
Azoubel,Ana Cláudia B.
Lopes,Antonio Alberto
Costa,Gersonita
Bacellar,Aroldo
dc.subject.por.fl_str_mv Guillain-Barré syndrome
dengue
radiculoneuritis
topic Guillain-Barré syndrome
dengue
radiculoneuritis
description This case report describes the findings of a 45-year-old white woman from Brazil, who developed myalgia, fever and macular rash. She was diagnosed as having dengue, based on clinical manifestations and specific IgM titers. One week after the first symptoms of dengue, the patient developed muscle weakness, followed by tetraplegia with areflexia, and respiratory insufficiency. The electromyography had evidence of demyelinating neuropathy and the cerebrospinal fluid showed albuminocytologic dissociation. These neurologic findings were consistent with the diagnosis of Guillain-Barré syndrome. The patient was treated with immunoglobulin and metylprednisolone. Mechanical ventilation was started one week after hospital admission and maintained for four weeks. After six weeks of hospitalization the patient was discharged from the hospital on wheel chair, presenting mild muscle weakness and loss of patellar and ankle reflexes. When the patient was seen at the outpatient service three weeks after hospital discharge she was able to walk with help. This case report suggests a possible association between dengue and Guillain-Barré syndrome.
publishDate 2004
dc.date.none.fl_str_mv 2004-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000100025
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000100025
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2004000100025
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.62 n.1 2004
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
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reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
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