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Guillain-Barré syndrome associated with the D222E variant of the 2009 pandemic influenza A (H1N1) virus: Case report and review of the literature

Identifieur interne : 001627 ( PascalFrancis/Curation ); précédent : 001626; suivant : 001628

Guillain-Barré syndrome associated with the D222E variant of the 2009 pandemic influenza A (H1N1) virus: Case report and review of the literature

Auteurs : Andrea Cortese [Italie] ; Fausto Baldanti [Italie] ; Eleonora Tavazzi [Italie] ; Livio Carnevale [Italie] ; Lorenzo Minoli [Italie] ; Alessandro Lozza [Italie] ; Enrico Marchioni [Italie]

Source :

RBID : Pascal:12-0064921

Descripteurs français

English descriptors

Abstract

Guillain-Barré syndrome (GBS) is an acute immune-mediated disorder of the peripheral nervous system and a triggering infectious event is often reported in the weeks before the disease onset. Influenza viruses have been associated with Guillain-Barré syndrome (GBS), both after infection and, in rare cases, after vaccination. However, GBS has rarely reported to be a neurological complication of the recent pandemic influenza A (H1N1) 2009 virus infections. Here we describe the case of a young man, who developed acute severe motor inflammatory demyelinating polyradiculoneuropathy during influenza A(H1N1)2009 infection. Peculiar features are the findings of a mutated haemagglutinin gene (D222E variant), which has never previously been associated with neurological involvement, and the almost simultaneous appearance of respiratory infectious and immune-mediated neurological symptoms. Moreover we review the clinical presentation, laboratory findings and outcome of influenza-related GBS.
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A11 01  1    @1 CORTESE (Andrea)
A11 02  1    @1 BALDANTI (Fausto)
A11 03  1    @1 TAVAZZI (Eleonora)
A11 04  1    @1 CARNEVALE (Livio)
A11 05  1    @1 MINOLI (Lorenzo)
A11 06  1    @1 LOZZA (Alessandro)
A11 07  1    @1 MARCHIONI (Enrico)
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A14 03      @1 Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo @2 Pavia @3 ITA @Z 4 aut.
A14 04      @1 Department of Infectious Diseases, Fondazione IRCCS Policlinico San Matteo @2 Pavia @3 ITA @Z 5 aut.
A14 05      @1 Department of Neurophysiology, Institute of Neurology Fondazione IRCCS "C.Mondino @2 Pavia @3 ITA @Z 6 aut.
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C01 01    ENG  @0 Guillain-Barré syndrome (GBS) is an acute immune-mediated disorder of the peripheral nervous system and a triggering infectious event is often reported in the weeks before the disease onset. Influenza viruses have been associated with Guillain-Barré syndrome (GBS), both after infection and, in rare cases, after vaccination. However, GBS has rarely reported to be a neurological complication of the recent pandemic influenza A (H1N1) 2009 virus infections. Here we describe the case of a young man, who developed acute severe motor inflammatory demyelinating polyradiculoneuropathy during influenza A(H1N1)2009 infection. Peculiar features are the findings of a mutated haemagglutinin gene (D222E variant), which has never previously been associated with neurological involvement, and the almost simultaneous appearance of respiratory infectious and immune-mediated neurological symptoms. Moreover we review the clinical presentation, laboratory findings and outcome of influenza-related GBS.
C02 01  X    @0 002B17
C02 02  X    @0 002B17E
C03 01  X  FRE  @0 Polyradiculonévrite de Guillain-Barré @5 01
C03 01  X  ENG  @0 Guillain-Barré syndrome @5 01
C03 01  X  SPA  @0 Polirradiculoneuritis Guillain-Barré @5 01
C03 02  X  FRE  @0 Infection @5 02
C03 02  X  ENG  @0 Infection @5 02
C03 02  X  SPA  @0 Infección @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Grippe A @5 09
C03 04  X  ENG  @0 Influenza A @5 09
C03 04  X  SPA  @0 Gripe A @5 09
C03 05  X  FRE  @0 Etude cas @5 10
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C03 06  X  SPA  @0 Virus @2 NW @5 11
C03 07  X  FRE  @0 Vaccination @5 12
C03 07  X  ENG  @0 Vaccination @5 12
C03 07  X  SPA  @0 Vacunación @5 12
C03 08  X  FRE  @0 Grippe H1N1 @4 CD @5 96
C03 08  X  ENG  @0 H1N1 influenza @4 CD @5 96
C03 08  X  SPA  @0 Gripe H1N1 @4 CD @5 96
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Maladie inflammatoire @5 37
C07 02  X  ENG  @0 Inflammatory disease @5 37
C07 02  X  SPA  @0 Enfermedad inflamatoria @5 37
C07 03  X  FRE  @0 Pathologie du système nerveux périphérique @5 38
C07 03  X  ENG  @0 Peripheral nerve disease @5 38
C07 03  X  SPA  @0 Nervio periférico patología @5 38
C07 04  X  FRE  @0 Pathologie de l'appareil respiratoire @5 40
C07 04  X  ENG  @0 Respiratory disease @5 40
C07 04  X  SPA  @0 Aparato respiratorio patología @5 40
N21       @1 044
N44 01      @1 OTO
N82       @1 OTO

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Le document en format XML

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<div type="abstract" xml:lang="en">Guillain-Barré syndrome (GBS) is an acute immune-mediated disorder of the peripheral nervous system and a triggering infectious event is often reported in the weeks before the disease onset. Influenza viruses have been associated with Guillain-Barré syndrome (GBS), both after infection and, in rare cases, after vaccination. However, GBS has rarely reported to be a neurological complication of the recent pandemic influenza A (H1N1) 2009 virus infections. Here we describe the case of a young man, who developed acute severe motor inflammatory demyelinating polyradiculoneuropathy during influenza A(H1N1)2009 infection. Peculiar features are the findings of a mutated haemagglutinin gene (D222E variant), which has never previously been associated with neurological involvement, and the almost simultaneous appearance of respiratory infectious and immune-mediated neurological symptoms. Moreover we review the clinical presentation, laboratory findings and outcome of influenza-related GBS.</div>
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<fC03 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Grippe A</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Influenza A</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Gripe A</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Etude cas</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Case study</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Estudio caso</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Virus</s0>
<s2>NW</s2>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Virus</s0>
<s2>NW</s2>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Virus</s0>
<s2>NW</s2>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Vaccination</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Vaccination</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Vacunación</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Grippe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>H1N1 influenza</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Gripe H1N1</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Maladie inflammatoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Inflammatory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Enfermedad inflamatoria</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du système nerveux périphérique</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Peripheral nerve disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Nervio periférico patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie de l'appareil respiratoire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>044</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |area=    PandemieGrippaleV1
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