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Complication of Hepatitis A Infection: Case Report of Acute Inflammatory Demyelinating Polyneuropathy

INTRODUCTION: Acute inflammatory demyelinating polyneuropathy (AIDP) is characterized by progressive, mild sensory symptoms and progressive areflexic weakness. It typically follows a gastrointestinal or respiratory infection but has rarely been described after acute viral hepatitis. CASE REPORT: Thi...

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Detalles Bibliográficos
Autores principales: Laursen, Daniel, Krug, Jeffrey, Wolford, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872614/
https://www.ncbi.nlm.nih.gov/pubmed/33560967
http://dx.doi.org/10.5811/cpcem.2020.9.48827
Descripción
Sumario:INTRODUCTION: Acute inflammatory demyelinating polyneuropathy (AIDP) is characterized by progressive, mild sensory symptoms and progressive areflexic weakness. It typically follows a gastrointestinal or respiratory infection but has rarely been described after acute viral hepatitis. CASE REPORT: This is the case of a 59-year-old male who presented to the emergency department after acutely developing progressive neurologic symptoms following a hospitalization for acute hepatitis A. Cerebrospinal fluid analysis revealed albuminocytologic dissociation, and cervical spine magnetic resonance imaging revealed nerve root enhancement. DISCUSSION: The patient was diagnosed with AIDP, which is the most common subtype of Guillain-Barré syndrome in the United States and Europe. There have been few previously reported cases of AIDP following acute hepatitis A infection.