一名 63 岁患者的格林-巴利综合征可能由埃希氏菌病引发。病例报告

IF 1.5 Q4 INFECTIOUS DISEASES
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引用次数: 0

摘要

格林-巴利综合征(Guillain-Barré syndrome)是一种免疫介导的急性脱髓鞘多发性神经病,以进行性弛缓性乏力为特征,主要由呼吸道和胃肠道感染诱发。我们报告了一例 63 岁男性患者的病例,该患者有埃希氏菌感染史,因下腰痛和进行性下肢麻痹,伴有下肢力量减弱和神经传导速度测试,结果与急性脱髓鞘性感觉运动多发性脊髓神经病相吻合而就诊于内科急诊。据我们所知,这是洪都拉斯医学文献中记载的第一个病例;在我们的研究中,拉丁美洲和欧洲都没有发现其他病例。本课题及其在存在埃里希氏菌感染的国家传播的重要性在于,当格林-巴利综合征病例与之前的胃肠道或呼吸道感染无关时,可将其归因于可能的埃里希氏菌感染;因此,可以针对埃里希氏菌病的传播媒介制定详尽的预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Guillain–Barré syndrome in a 63-year-old patient possibly triggered by ehrlichiosis. Case report

Guillain–Barré syndrome is an immune-mediated acute demyelinating polyradiculoneuropathy, characterized by progressive flaccid weakness, triggered mainly by respiratory and gastrointestinal infections. We present the case of a 63-year-old male patient with a history of Ehrlichia infection, who consulted the internal medicine emergency department for lower back pain and progressive lower limb paresthesia, accompanied by decreased lower limb strength and nerve conduction velocity test, with results compatible with acute demyelinating sensorimotor polyradiculoneuropathy. To the best of our knowledge, this is the first documented case in Honduran medical literature; in our research, no other cases were found in Latin America or Europe. The importance of the topic and its dissemination in countries where Ehrlichia infection exists is that when cases of Guillain–Barré syndrome that cannot be associated with previous gastrointestinal or respiratory infection, they could be attributed to Ehrlichia infection as a possible cause; therefore, exhaustive preventive measures can be established regarding the transmitting vector of ehrlichiosis.

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来源期刊
IJID regions
IJID regions Infectious Diseases
CiteScore
1.60
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0.00%
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64 days
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