Neurologic Disorders in Immunocompetent Patients with Autochthonous Acute Hepatitis E
Autor: | Laurent Alric, Nassim Kamar, Jean-Pierre Vinel, Jacques Izopet, Christophe Bureau, Pascal Cintas, René Gerolami, Jean-Marie Péron, H. Blasco Perrin, Louis d’Alteroche, J.-N. Raynal, P. Couzigou, J.-M. Liversain, L. Prudhomme, E. Vaucher, Florence Abravanel, Emmanuel Dupuis |
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Přispěvatelé: | Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), CHU Marseille, CHU Trousseau [Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Clinique de l'union, Pharmacochimie et Biologie pour le Développement (PHARMA-DEV), Institut de Recherche pour le Développement (IRD)-Institut de Chimie de Toulouse (ICT), Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université de Toulouse (UT)-Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT), Clinique Pasteur, Clinique Pasteur [Toulouse], Centre Hospitalier Intercommunal Castres-Mazamet (CHIC-CM), Centre Hospitalier de Narbonne, CHU Bordeaux [Bordeaux], Intensive Care Unit, Centre Hospitalier de Mont De Marsan, 40000, Mont-de-Marsan, CHU Toulouse [Toulouse], Clinique de l'Union, Institut de Recherche pour le Développement (IRD)-Institut de Chimie de Toulouse (ICT-FR 2599), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Institut de Chimie du CNRS (INC)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Institut de Chimie du CNRS (INC) |
Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Male
Parsonage–Turner syndrome Pediatrics Epidemiology [SDV]Life Sciences [q-bio] viruses lcsh:Medicine medicine.disease_cause chemistry.chemical_compound Neurologic Disorders in Immunocompetent Patients with Autochthonous Acute Hepatitis E Hepatitis E virus Autochthonous Acute Hepatitis E Suggested citation for this article: Blasco Perrin H d’Alteroche L Immunocompetent Patients Guillain-Barre syndrome biology Mononeuritis Multiplex virus diseases Middle Aged Guillain-Barré syndrome Hepatitis E demyelinating neuropathy 3. Good health Infectious Diseases Acute Disease Synopsis Education Medical Continuing Female Immunocompetence Antibody Adult Microbiology (medical) medicine.medical_specialty Abravanel F et al. Neurologic disorders in nonimmunocompromised patients with autochthonous acute hepatitis E. Emerg Infect Dis. 2015 Nov [date cited]. http://dx.doi.org/10.3201/eid2111.141789 meningoradiculitis hepatitis E virus Raynal JN mononeuritis multiplex lcsh:Infectious and parasitic diseases medicine Humans Gérolami R lcsh:RC109-216 Aged Cintas P business.industry Ribavirin lcsh:R medicine.disease immunocompetent digestive system diseases chemistry neurological manifestations HEV Immunology biology.protein hepatitis E Nervous System Diseases business neurologic disorders |
Zdroj: | Emerging Infectious Diseases, Vol 21, Iss 11, Pp 1928-1934 (2015) Emerging Infectious Diseases Emerging Infectious Diseases, 2015, 21 (11), ⟨10.3201/eid2111.141789⟩ Emerging Infectious Diseases, Centers for Disease Control and Prevention, 2015, 21 (11), ⟨10.3201/eid2111.141789⟩ |
ISSN: | 1080-6040 1080-6059 |
Popis: | Patients with acute neurologic manifestations and aminotransferase abnormalities should be screened for hepatitis E virus infection. Neurologic disorders, mainly Guillain-Barré syndrome and Parsonage–Turner syndrome (PTS), have been described in patients with hepatitis E virus (HEV) infection in industrialized and developing countries. We report a wider range of neurologic disorders in nonimmunocompromised patients with acute HEV infection. Data from 15 French immunocompetent patients with acute HEV infection and neurologic disorders were retrospectively recorded from January 2006 through June 2013. The disorders could be divided into 4 main entities: mononeuritis multiplex, PTS, meningoradiculitis, and acute demyelinating neuropathy. HEV infection was treated with ribavirin in 3 patients (for PTS or mononeuritis multiplex). One patient was treated with corticosteroids (for mononeuropathy multiplex), and 5 others received intravenous immunoglobulin (for PTS, meningoradiculitis, Guillain-Barré syndrome, or Miller Fisher syndrome). We conclude that pleiotropic neurologic disorders are seen in HEV-infected immunocompetent patients. Patients with acute neurologic manifestations and aminotransferase abnormalities should be screened for HEV infection. |
Databáze: | OpenAIRE |
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