Published in:
Open Access
01-12-2018 | Case report
Guillain-Barre syndrome caused by hepatitis E infection: case report and literature review
Authors:
Xiaoqin Zheng, Liang Yu, Qiaomai Xu, Silan Gu, Lingling Tang
Published in:
BMC Infectious Diseases
|
Issue 1/2018
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Abstract
Background
Hepatitis E infection is a global disorder that causes substantial morbidity. Numerous neurologic illnesses, including Guillain–Barre syndrome (GBS), have occurred in patients with hepatitis E virus (HEV) infection.
Case presentation
We report a 58 year-old non-immunocompromised man who presented with progressive muscle weakness in all extremities during an episode of acute HEV infection, which was confirmed by measuring the anti-HEV IgM antibodies in the serum. Both cerebrospinal fluid examination and electrophysiological study were in agreement with the diagnosis of HEV-associated GBS. Following the treatment with intravenous immunoglobulin, the patient’s neurological condition improved rapidly.
Conclusions
HEV infection should be strongly considered in patients with neurological symptoms, especially those with elevated levels of liver enzymes.