Cargando…

Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study

OBJECTIVE: To investigate the spectrum of antecedent infections in Chinese patients with Guillain‐Barré syndrome (GBS) and analyze the infections‐related clinical phenotypes locally. METHODS: A prospective case‐control study of 150 patients diagnosed with GBS and age‐ and sex‐matched neurological an...

Descripción completa

Detalles Bibliográficos
Autores principales: Hao, Yanlei, Wang, Weifang, Jacobs, Bart C., Qiao, Baojun, Chen, Mengshi, Liu, Daiqiang, Feng, Xungang, Wang, Yuzhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917331/
https://www.ncbi.nlm.nih.gov/pubmed/31714025
http://dx.doi.org/10.1002/acn3.50946
_version_ 1783480393030172672
author Hao, Yanlei
Wang, Weifang
Jacobs, Bart C.
Qiao, Baojun
Chen, Mengshi
Liu, Daiqiang
Feng, Xungang
Wang, Yuzhong
author_facet Hao, Yanlei
Wang, Weifang
Jacobs, Bart C.
Qiao, Baojun
Chen, Mengshi
Liu, Daiqiang
Feng, Xungang
Wang, Yuzhong
author_sort Hao, Yanlei
collection PubMed
description OBJECTIVE: To investigate the spectrum of antecedent infections in Chinese patients with Guillain‐Barré syndrome (GBS) and analyze the infections‐related clinical phenotypes locally. METHODS: A prospective case‐control study of 150 patients diagnosed with GBS and age‐ and sex‐matched neurological and healthy controls was performed to investigate recent infections of 14 pathogens serologically and collect the clinical data during a follow‐up of 12 months. RESULTS: In total, 53% of patients with GBS had a positive serology for recent infection, including Campylobacter jejuni (27%), influenza A (17%) and B (16%), hepatitis A virus (5%), dengue virus (3%), cytomegalovirus (3%), Epstein–Barr virus (3%), Mycoplasma pneumoniae (2%), herpes simplex virus (2%), varicella‐zoster virus (1%), and rubella virus (1%). Serology for infections of hepatitis E virus, Haemophilus influenzae, and Zika virus was negative. There was a higher frequency of C. jejuni, influenza A, influenza B, and hepatitis A virus infections in GBS patients than both the neurological and healthy controls. C. jejuni infection was more frequent in younger GBS patients and was associated with antibodies against GM1, GalNAc‐GD1a, and GM1:galactocerebroside complex. Influenza B infection was associated with a pure motor form of GBS. INTERPRETATION: C. jejuni, influenza A, influenza B, and hepatitis A virus serve as the most common cause of antecedent infections in GBS locally. Influenza B‐related GBS may represent a pure motor phenotype. Differences in the infectious spectrum worldwide may contribute to the geographical clinical heterogeneity of GBS.
format Online
Article
Text
id pubmed-6917331
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-69173312019-12-23 Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study Hao, Yanlei Wang, Weifang Jacobs, Bart C. Qiao, Baojun Chen, Mengshi Liu, Daiqiang Feng, Xungang Wang, Yuzhong Ann Clin Transl Neurol Research Articles OBJECTIVE: To investigate the spectrum of antecedent infections in Chinese patients with Guillain‐Barré syndrome (GBS) and analyze the infections‐related clinical phenotypes locally. METHODS: A prospective case‐control study of 150 patients diagnosed with GBS and age‐ and sex‐matched neurological and healthy controls was performed to investigate recent infections of 14 pathogens serologically and collect the clinical data during a follow‐up of 12 months. RESULTS: In total, 53% of patients with GBS had a positive serology for recent infection, including Campylobacter jejuni (27%), influenza A (17%) and B (16%), hepatitis A virus (5%), dengue virus (3%), cytomegalovirus (3%), Epstein–Barr virus (3%), Mycoplasma pneumoniae (2%), herpes simplex virus (2%), varicella‐zoster virus (1%), and rubella virus (1%). Serology for infections of hepatitis E virus, Haemophilus influenzae, and Zika virus was negative. There was a higher frequency of C. jejuni, influenza A, influenza B, and hepatitis A virus infections in GBS patients than both the neurological and healthy controls. C. jejuni infection was more frequent in younger GBS patients and was associated with antibodies against GM1, GalNAc‐GD1a, and GM1:galactocerebroside complex. Influenza B infection was associated with a pure motor form of GBS. INTERPRETATION: C. jejuni, influenza A, influenza B, and hepatitis A virus serve as the most common cause of antecedent infections in GBS locally. Influenza B‐related GBS may represent a pure motor phenotype. Differences in the infectious spectrum worldwide may contribute to the geographical clinical heterogeneity of GBS. John Wiley and Sons Inc. 2019-11-12 /pmc/articles/PMC6917331/ /pubmed/31714025 http://dx.doi.org/10.1002/acn3.50946 Text en © 2019 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Hao, Yanlei
Wang, Weifang
Jacobs, Bart C.
Qiao, Baojun
Chen, Mengshi
Liu, Daiqiang
Feng, Xungang
Wang, Yuzhong
Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study
title Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study
title_full Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study
title_fullStr Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study
title_full_unstemmed Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study
title_short Antecedent infections in Guillain‐Barré syndrome: a single‐center, prospective study
title_sort antecedent infections in guillain‐barré syndrome: a single‐center, prospective study
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917331/
https://www.ncbi.nlm.nih.gov/pubmed/31714025
http://dx.doi.org/10.1002/acn3.50946
work_keys_str_mv AT haoyanlei antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT wangweifang antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT jacobsbartc antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT qiaobaojun antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT chenmengshi antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT liudaiqiang antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT fengxungang antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy
AT wangyuzhong antecedentinfectionsinguillainbarresyndromeasinglecenterprospectivestudy