Case Report: Guillain-Barré Syndrome Secondary to Dengue Virus Infection in Northeast Mexico
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 21, Issue 7
Abstract
Aims: Dengue virus is a mosquito-born viral disease that infects about 390 million people each year. The clinical manifestations are fever, arthralgia and myalgia. Guillain-Barré Syndrome (GBS) caused by dengue fever has been rarely reported. Presentation of Case: A 46-year-old man with no relevant medical history was seen because of progressive quadriparesis, dysautonomia, dysphagia and facial paresia. Ten days before seeking medical care the patient had fever, myalgia, arthralgia, rash, thrombocytopenia, and a positive NS1 dengue antigen. GBS was suspected and immunoglobulin was started while nerve conduction studies confirmed an acute motor axonal polyradiculoneuropathy. According to Brighton criteria, the patient was classified with a level 2 diagnostic certainty, since it was decided to not perform lumbar puncture for CSF analysis. The patient had a good clinical response and was subsequently discharged. Discussion: Dengue virus is arthropod-borne. It presents with high fever, rash, arthralgia, myalgia, and in rare cases, neurological complications such as GBS. In Mexico, there were 14,112 confirmed cases of non-severe dengue and 3,683 cases of severe dengue or with warning signs in 2016. There are no reported cases of GBS secondary to dengue infection in this country. Conclusion: GBS following dengue fever should be considered in countries with a high incidence of dengue infection such as Mexico even if there are no previous manifestations of dengue fever.
Authors and Affiliations
Fernando Garza-Salazar, Hector Garza, Emma Purón-González, Jorge Alberto Hernandez-Portales
Keywords
Related Articles
- EP ID EP311790
- DOI 10.9734/BJMMR/2017/32875
- Views 96
- Downloads 0
Clinical Characteristics and Pathophysiological Features of Restless Legs Syndrome (RLS): Recent Advances and Future Challenges
Restless Legs Syndrome (RLS)/Willi’s-Ekbom disease (WED) or Jimmy Legs is a neurological sensory-motor disorder that causes intense restlessness and unpleasant creepy-crawly feelings inside the lower legs at rest. It can...
A Novel Approach for Innovative Pharmaceutical, Nutraceutical and Biocosmeceutical Products: Different Types of Combination Products and Co-activation of Natural Synergistically Acting Target-Receptors (CanSATs)
Traditionally, the main model of the pharmaceutical industry for developing new drugs has been based on monotherapies, new molecular entities (NMEs), and their underlying one-target-one-disease dogma. It is no surprise t...
One-time Exposure to General Anesthetics Alters Nociceptive Response and Nucleotide Hydrolysis in Infant Rats
Aims: The objective was to evaluate the single exposure of general anesthetics with or without a surgical procedure at postnatal day 14 (P14) on nociceptive behavioral responses. Furthermore, we evaluated ectonucleotidas...
Evaluation of Presbyopia in a Peripheral Eye Clinic in Port Harcourt, Nigeria
Background: Uncorrected presbyopia is a significant and increasing cause of visual disability globally. Presbyopia is the decline of the focusing ability of the crystalline lens due to loss of elasticity which makes it l...
Dearth of Haematologists in Nigeria: Unfriendly Specialty among Medical Students in Niger-Delta Region of Nigeria
Background: There is continuous rise in haematology and haemato-oncology cases in Nigeria. Unfortunately, there is inadequate number of haematologists to care for these rising cases despite the high number of medical doc...