Acute inflammatory demyelinating polyradiculoneuropathy (Guillain-Barré syndrome) following dengue fever

Revista do Instituto de Medicina Tropical de São Paulo

Eduardo Gonçalves¹ 

[1] ,State University of Montes Claros Medical School Department of Health of Women and ChildrenMontes Claros Minas Gerais ,Brazil

关键词: Acute inflammatory demyelinating polyradiculoneuropathy;    Dengue fever;    Guillain-Barré Syndrome;    Neurological dengue;   

DOI  :  10.1590/S0036-46652011000400009

来源: SciELO

【 摘 要 】

This paper reports a case of dengue in a six-year-old female child who suddenly developed excruciating headaches, fever, myalgia and paresis. Laboratory examinations included blood count, platelet count, biochemical tests (BUN, creatinine, aminotransferases, and total bilirubin and bilirubin fractions) and specific IgM titers (enzyme-immunoassay with recombinant tetravalent dengue). After ten days of hospitalization and having already been in a home environment, a new clinical image emerged, characterized by dysphagia, dysphonia, weakness, peripheral facial palsy and paresthesia. The diagnosis of Guillain-Barré Syndrome was based on clinical findings, cerebrospinal fluid examination, electrophysiological findings and the exclusion of other pathologies. Our case, as some shown in previous reports, calls attention to the possibility that Guillain-Barré Syndrome may occur in association with dengue.

【 授权许可】

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