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2017-09-19
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GUILLAIN-BARRÉ SYNDROME AFTER ZIKA VIRUS INFECTION IN BRAZIL
Flavivirus
Infecção por Zika virus
Sindrome de Guillain-Barré
Brasil
Diagnóstico
Author
Affilliation
Secretaria Estadual da Saúde da Bahia. Hospital Geral Roberto Santos. Salvador, BA, Brasil.
Secretaria Estadual da Saúde da Bahia. Hospital Geral Roberto Santos. Salvador, BA, Brasil.
University of Texas Medical Branch. Institute for Human Infections and Immunity. Department pf Pathology, Center for Biodefense and Emerging Infectious Diseases. Galveston, Texas, USA / University of Texas Medical Branch. Institute for Human Infections and Immunity. Center for Tropical Diseases. Galveston, Texas, USA.
Secretaria Estadual da Saúde da Bahia. Hospital Geral Roberto Santos. Salvador, BA, Brasil.
Hospital São Rafael. Fundação Monte Tabor. Salvador, BA, Brasil.
Instituto Evandro Chagas. Seção de Arbovirologia e Febres Hemorrágicas. Ananindeua, PA, Brasil.
Instituto Evandro Chagas. Seção de Arbovirologia e Febres Hemorrágicas. Ananindeua, PA, Brasil.
Instituto Evandro Chagas. Seção de Arbovirologia e Febres Hemorrágicas. Ananindeua, PA, Brasil.
Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USA.
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil.
Secretaria Estadual da Saúde da Bahia. Hospital Geral Roberto Santos. Salvador, BA, Brasil.
University of Texas Medical Branch. Institute for Human Infections and Immunity. Department pf Pathology, Center for Biodefense and Emerging Infectious Diseases. Galveston, Texas, USA / University of Texas Medical Branch. Institute for Human Infections and Immunity. Center for Tropical Diseases. Galveston, Texas, USA.
Secretaria Estadual da Saúde da Bahia. Hospital Geral Roberto Santos. Salvador, BA, Brasil.
Hospital São Rafael. Fundação Monte Tabor. Salvador, BA, Brasil.
Instituto Evandro Chagas. Seção de Arbovirologia e Febres Hemorrágicas. Ananindeua, PA, Brasil.
Instituto Evandro Chagas. Seção de Arbovirologia e Febres Hemorrágicas. Ananindeua, PA, Brasil.
Instituto Evandro Chagas. Seção de Arbovirologia e Febres Hemorrágicas. Ananindeua, PA, Brasil.
Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USA.
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil.
Abstract
Zika virus (ZIKV) is an emerging flavivirus, which has caused a widespread outbreak in the Americas. Shortly after its introduction in 2015, a cluster of cases with Guillain-Barré syndrome was detected in Brazil. Herein, we describe two cases from the city of Salvador, who developed ascending paresis after an acute exanthematous illness. The patients were admitted to the intensive care unit with tetraparesis and cranial nerve palsy, which resolved after intravenous administration of human immunoglobulin. Serological evaluation detected IgM-specific ZIKV antibodies. In regions of Zika virus transmission, health-care workers must be aware of the potential severe neurological complications associated with ZIKV infection and be prepared to provide prompt diagnosis, treatment, and supportive care.
Keywords in Portuguese
Zika virusFlavivirus
Infecção por Zika virus
Sindrome de Guillain-Barré
Brasil
Diagnóstico
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