Recurrent Guillain-Barré Syndrome Following Urinary Tract Infection by Escherichia coli
| Autor: | Hong Chung, Jin-Yong Choi, Yoon Sik Jo, Sang Jun Na, Yuseok Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Neurology & Neuroscience Urinary system Congenital cytomegalovirus infection Case Report Acute motor axonal neuropathy medicine.disease_cause Gastroenterology Haemophilus influenzae 03 medical and health sciences Polyneuropathies 0302 clinical medicine Internal medicine medicine Dysuria Uropathogenic Escherichia coli 030212 general & internal medicine Guillain-Barre syndrome business.industry Guillain-Barré Syndrome General Medicine medicine.disease bacterial infections and mycoses Urinary Tract Infection Mycoplasma pneumonia Ceftriaxone medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| Popis: | Recurrent Guillain-Barré syndrome (GBS) is a rare, immune-mediated disease of the peripheral nervous system. It has been reported to occur at intervals ranging from four months to 10 years; published case studies suggest that 1%–6% of patients who have had GBS will experience recurrent attacks. The most commonly identified infections coinciding with GBS are Campylobacter jejuni, Haemophilus influenzae, Mycoplasma pneumonia, and cytomegalovirus, while an antecedent infection with Escherichia coli is very uncommon. In this case report, we present a rare episode of recurrent GBS, which followed a urinary tract infection (UTI) by E. coli, and an accompanying literature review. A 75-year-old woman with a prior history of acute motor axonal neuropathy (AMAN), a subtype of GBS, presented with subsequent weakness of limbs and areflexia following 10 days of fever, frequency, and dysuria. Base on nerve conduction studies, cerebrospinal fluid analysis and other clinical investigation, we diagnosed the patient with recurrent GBS caused by E. coli. The patient recovered with mild subjective weakness following treatment of intravenous immunoglobulin with ceftriaxone. We suggest that E. coli causes UTI could be one of the diverse trigger factors involved in recurrent GBS. Graphical Abstract |
| Databáze: | OpenAIRE |
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