2018, Number 5
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Med Int Mex 2018; 34 (5)
Guillain-Barre syndrome associated with Zika virus infection
Ramírez-Rayón EM, Ávalos-Ríos JM, García-Jiménez FJ, Blancas-Cervantes JM, Añorve-Clavel D, García-Cuevas E, Matadamas-Hernández N, López-Velázquez DF
Language: Spanish
References: 22
Page: 667-677
PDF size: 527.21 Kb.
ABSTRACT
Objectives: To communicate a series of cases of Guillain-Barre syndrome and to
describe the clinical characteristics related to a possible association with previous
infection due to Zika virus.
Material and Method: A descriptive study of series of cases in which clinical,
biochemical and demographic data were collected from patients with Guillain-Barre
syndrome treated at the Hospital General Acapulco with a recent history of acute viral
syndrome suspected of infection due to Zika virus, performed from July 24 to August
24, 2016, with conducting study of cerebrospinal fluid and ascertainment of cytological
albuminous dissociation. A certainty diagnosis was established for Guillain-Barre
syndrome according to the criteria of Asbury-Cornblath and Brighton.
Results: Ten patients with GBS and a recent history of acute viral syndrome compatible
with Zika virus infection were included. The mean age was 47.8 years, 4 were
male. The motor and sensitive deficits were developed at a median of 4.5 and 4.3
days, respectively after the onset of symptoms of viral infection. The complications
found were ventilator-associated pneumonia, urinary tract infection and dysautonomia.
Conclusions: All cases of this outbreak of Guillain-Barre syndrome had a recent
history of suspected infection due to Zika virus, reinforcing the evidence for the association
between Guillain-Barre syndrome and infection due to Zika virus.
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