Neurological Complications during Treatment of Middle East Respiratory Syndrome
Identifieur interne : 000771 ( Main/Exploration ); précédent : 000770; suivant : 000772Neurological Complications during Treatment of Middle East Respiratory Syndrome
Auteurs : Jee-Eun Kim [Corée du Sud] ; Jae-Hyeok Heo [Corée du Sud] ; Hye-Ok Kim [Corée du Sud] ; Sook-Hee Song [Corée du Sud] ; Sang-Soon Park [Corée du Sud] ; Tai-Hwan Park [Corée du Sud] ; Jin-Young Ahn [Corée du Sud] ; Min-Ky Kim [Corée du Sud] ; Jae-Phil Choi [Corée du Sud]Source :
- Journal of Clinical Neurology (Seoul, Korea) [ 1738-6586 ] ; 2017.
Abstract
Middle East respiratory syndrome (MERS) has a high mortality rate and pandemic potential. However, the neurological manifestations of MERS have rarely been reported since it first emerged in 2012.
We evaluated four patients with laboratory-confirmed MERS coronavirus (CoV) infections who showed neurological complications during MERS treatment. These 4 patients were from a cohort of 23 patients who were treated at a single designated hospital during the 2015 outbreak in the Republic of Korea. The clinical presentations, laboratory findings, and prognoses are described.
Four of the 23 admitted MERS patients reported neurological symptoms during or after MERS-CoV treatment. The potential diagnoses in these four cases included Bickerstaff's encephalitis overlapping with Guillain-Barré syndrome, intensive-care-unit-acquired weakness, or other toxic or infectious neuropathies. Neurological complications did not appear concomitantly with respiratory symptoms, instead being delayed by 2–3 weeks.
Neuromuscular complications are not rare during MERS treatment, and they may have previously been underdiagnosed. Understanding the neurological manifestations is important in an infectious disease such as MERS, because these symptoms are rarely evaluated thoroughly during treatment, and they may interfere with the prognosis or require treatment modification.
Url:
DOI: 10.3988/jcn.2017.13.3.227
PubMed: 28748673
PubMed Central: 5532318
Affiliations:
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Sud</country><wicri:regionArea>Department of Neurology, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Heo, Jae Hyeok" sort="Heo, Jae Hyeok" uniqKey="Heo J" first="Jae-Hyeok" last="Heo">Jae-Hyeok Heo</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Neurology, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Hye Ok" sort="Kim, Hye Ok" uniqKey="Kim H" first="Hye-Ok" last="Kim">Hye-Ok Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Song, Sook Hee" sort="Song, Sook Hee" uniqKey="Song S" first="Sook-Hee" last="Song">Sook-Hee Song</name><affiliation wicri:level="3"><nlm:aff id="A2">Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Sang Soon" sort="Park, Sang Soon" uniqKey="Park S" first="Sang-Soon" last="Park">Sang-Soon Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Neurology, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Tai Hwan" sort="Park, Tai Hwan" uniqKey="Park T" first="Tai-Hwan" last="Park">Tai-Hwan Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Neurology, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ahn, Jin Young" sort="Ahn, Jin Young" uniqKey="Ahn J" first="Jin-Young" last="Ahn">Jin-Young Ahn</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Neurology, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Min Ky" sort="Kim, Min Ky" uniqKey="Kim M" first="Min-Ky" last="Kim">Min-Ky Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Neurology, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Neurology, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Jae Phil" sort="Choi, Jae Phil" uniqKey="Choi J" first="Jae-Phil" last="Choi">Jae-Phil Choi</name><affiliation wicri:level="3"><nlm:aff id="A3">Division of Infectious Diseases, Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine, Seoul Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Clinical Neurology (Seoul, Korea)</title><idno type="ISSN">1738-6586</idno><idno type="eISSN">2005-5013</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background and Purpose</title><p>Middle East respiratory syndrome (MERS) has a high mortality rate and pandemic potential. However, the neurological manifestations of MERS have rarely been reported since it first emerged in 2012.</p></sec><sec><title>Methods</title><p>We evaluated four patients with laboratory-confirmed MERS coronavirus (CoV) infections who showed neurological complications during MERS treatment. These 4 patients were from a cohort of 23 patients who were treated at a single designated hospital during the 2015 outbreak in the Republic of Korea. The clinical presentations, laboratory findings, and prognoses are described.</p></sec><sec><title>Results</title><p>Four of the 23 admitted MERS patients reported neurological symptoms during or after MERS-CoV treatment. The potential diagnoses in these four cases included Bickerstaff's encephalitis overlapping with Guillain-Barré syndrome, intensive-care-unit-acquired weakness, or other toxic or infectious neuropathies. Neurological complications did not appear concomitantly with respiratory symptoms, instead being delayed by 2–3 weeks.</p></sec><sec><title>Conclusions</title><p>Neuromuscular complications are not rare during MERS treatment, and they may have previously been underdiagnosed. Understanding the neurological manifestations is important in an infectious disease such as MERS, because these symptoms are rarely evaluated thoroughly during treatment, and they may interfere with the prognosis or require treatment modification.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zaki, Am" uniqKey="Zaki A">AM Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S van Boheemen</name></author><author><name sortKey="Bestebroer, Tm" uniqKey="Bestebroer T">TM Bestebroer</name></author><author><name sortKey="Osterhaus, Ad" uniqKey="Osterhaus A">AD Osterhaus</name></author><author><name sortKey="Fouchier, Ra" uniqKey="Fouchier R">RA Fouchier</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Desforges, M" uniqKey="Desforges M">M Desforges</name></author><author><name sortKey="Le 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sortKey="Arbour, N" uniqKey="Arbour N">N Arbour</name></author><author><name sortKey="Day, R" uniqKey="Day R">R Day</name></author><author><name sortKey="Newcombe, J" uniqKey="Newcombe J">J Newcombe</name></author><author><name sortKey="Talbot, Pj" uniqKey="Talbot P">PJ Talbot</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chan, Jf" uniqKey="Chan J">JF Chan</name></author><author><name sortKey="Chan, Kh" uniqKey="Chan K">KH Chan</name></author><author><name sortKey="Choi, Gk" uniqKey="Choi G">GK Choi</name></author><author><name sortKey="To, Kk" uniqKey="To K">KK To</name></author><author><name sortKey="Tse, H" uniqKey="Tse H">H Tse</name></author><author><name sortKey="Cai, Jp" uniqKey="Cai J">JP Cai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tsai, Lk" uniqKey="Tsai L">LK Tsai</name></author><author><name sortKey="Hsieh, St" uniqKey="Hsieh S">ST Hsieh</name></author><author><name sortKey="Chao, Cc" uniqKey="Chao C">CC Chao</name></author><author><name sortKey="Chen, Yc" uniqKey="Chen Y">YC Chen</name></author><author><name sortKey="Lin, Yh" uniqKey="Lin Y">YH Lin</name></author><author><name sortKey="Chang, Sc" uniqKey="Chang S">SC Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Umapathi, T" uniqKey="Umapathi T">T Umapathi</name></author><author><name sortKey="Kor, Ac" uniqKey="Kor A">AC Kor</name></author><author><name sortKey="Venketasubramanian, N" uniqKey="Venketasubramanian N">N Venketasubramanian</name></author><author><name sortKey="Lim, Cc" uniqKey="Lim C">CC Lim</name></author><author><name sortKey="Pang, Bc" uniqKey="Pang B">BC Pang</name></author><author><name sortKey="Yeo, Tt" uniqKey="Yeo T">TT Yeo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Jee Eun" sort="Kim, Jee Eun" uniqKey="Kim J" first="Jee-Eun" last="Kim">Jee-Eun Kim</name></region><name sortKey="Ahn, Jin Young" sort="Ahn, Jin Young" uniqKey="Ahn J" first="Jin-Young" last="Ahn">Jin-Young Ahn</name><name sortKey="Choi, Jae Phil" sort="Choi, Jae Phil" uniqKey="Choi J" first="Jae-Phil" last="Choi">Jae-Phil Choi</name><name sortKey="Heo, Jae Hyeok" sort="Heo, Jae Hyeok" uniqKey="Heo J" first="Jae-Hyeok" last="Heo">Jae-Hyeok Heo</name><name sortKey="Kim, Hye Ok" sort="Kim, Hye Ok" uniqKey="Kim H" first="Hye-Ok" last="Kim">Hye-Ok Kim</name><name sortKey="Kim, Min Ky" sort="Kim, Min Ky" uniqKey="Kim M" first="Min-Ky" last="Kim">Min-Ky Kim</name><name sortKey="Park, Sang Soon" sort="Park, Sang Soon" uniqKey="Park S" first="Sang-Soon" last="Park">Sang-Soon Park</name><name sortKey="Park, Tai Hwan" sort="Park, Tai Hwan" uniqKey="Park T" first="Tai-Hwan" last="Park">Tai-Hwan Park</name><name sortKey="Song, Sook Hee" sort="Song, Sook Hee" uniqKey="Song S" first="Sook-Hee" last="Song">Sook-Hee Song</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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