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-
1.
Musso D, Cao-Lormeau VM, Gubler DJ, 2015. Zika virus: following the path of dengue and chikungunya? Lancet 386: 243–244.
-
2.
Macnamara FN, 1954. Zika virus: a report on three cases of human infection during an epidemic of jaundice in Nigeria. Trans R Soc Trop Med Hyg 48: 139–145.
-
3.
Hayes EB, 2009. Zika virus outside Africa. Emerg Infect Dis 15: 1347–1350.
-
4.
Duffy MR, Chen T-H, Hancock WT, Powers AM, Kool JL, Lanciotti RS, Pretrick M, Marfel M, Holzbauer S, Dubray C, Guillaumot L, Griggs A, Bel M, Lambert AJ, Laven J, Kosoy O, Panella A, Biggerstaff BJ, Fischer M, Hayes EB, 2009. Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med 360: 2536–2543.
-
5.
Ioos S, Mallet HP, Leparc Goffart I, Gauthier V, Cardoso T, Herida M, 2014. Current Zika virus epidemiology and recent epidemics. Med Mal Infect 44: 302–307.
-
6.
Cao-Lormeau VM, Roche C, Teissier A, Robin E, Berry AL, Mallet HP, Sall AA, Musso D, 2014. Zika virus, French Polynesia, South Pacific, 2013. Emerg Infect Dis 20: 1085–1086.
-
7.
Roth A, Mercier A, Lepers C, Hoy D, Duituturaga S, Benyon E, Guillaumot L, Souares Y, 2014. Concurrent outbreaks of dengue, chikungunya and Zika virus infections: an unprecedented epidemic wave of mosquito-borne viruses in the Pacific 2012–2014. Euro Surveill 19: 1–8.
-
8.
Zanluca C, De Melo VCA, Mosimann ALP, Santos GI, Santos CN, Luz K, 2015. First report of autochthonous transmission of Zika virus in Brazil. Mem Inst Oswaldo Cruz 110: 569–572.
-
9.
Campos GS, Bandeira AC, Sardi SI, 2015. Zika virus outbreak, Bahia, Brazil. Emerg Infect Dis 21: 1885–1886.
-
10.
Pan American Health Organization (PAHO)/World Health Organization (WHO), 2016. Epidemiological Update: Neurological Syndrome, Congenital Anomalies, and Zika Virus Infection. Washington, DC: PAHO/WHO.
-
11.
Cao-Lormeau V-M, Blake A, Mons S, Lastère S, Roche C, Vanhomwegen J, Dub T, Baudouin L, Teissier A, Larre P, Vial AL, Decam C, Choumet V, Halstead SK, Willison HJ, Musset L, Manuguerra JC, Despres P, Fournier E, Mallet HP, Musso D, Fontanet A, Neil J, Ghawché F, 2016. Guillain-Barré Syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study. Lancet 387: 1531–1539.
-
12.
Wakerley BR, Uncini A, Yuki N, GBS Classification Group, 2014. Guillain–Barré and Miller Fisher syndromes: new diagnostic classification. Nat Rev Neurol 10: 537–544.
-
13.
Hughes RAC, Newsom-Davis JM, Perkin GD, Pierce JM, 1978. Controlled trial prednisolone in acute polyneuropathy. Lancet 312: 750–753.
-
14.
Rodriguez-Morales AJ, 2015. Zika: the new arbovirus threat for Latin America. J Infect Dev Ctries 9: 684–685.
-
15.
Garg R, Malhotra H, Jain A, Malhotra K, 2015. Dengue-associated neuromuscular complications. Neurol India 63: 497–516.
-
16.
El Amrani M, De Monredon J, Wielanek AC, Roger JC, Serveaux JP, 2007. Guillain-Barré syndrome complicating a chikungunya virus infection. Neurology 69: 2105–2106.
-
17.
DVIS/CIEVS, 2015. Informe Epidemiológico Doença Exantemática/Zika Vírus. Salvador-Ba. n 9. Available at: http://www.cievs.saude.salvador.ba.gov.br/boletins-epidemiologicos/boletimsindrexant_n.9agostorev. Accessed August 5, 2016.
-
18.
Oehler E, Watrin L, Larre P, Leparc-Goffart I, Lastere S, Valour F, Baudouin L, Mallet H, Musso D, Ghawche F, 2014. Zika virus infection complicated by Guillain-Barre syndrome: case report, French Polynesia, December 2013. Euro Surveill 19: 7–9.
-
19.
Campos GS, Pinho ACO, Brandao CJDF, Bandeira AC, Sardi SI, 2015. Dengue virus 4 (DENV-4) re-emerges after 30 years in Brazil: cocirculation of DENV-2, DENV-3, and DENV-4 in Bahia. Jpn J Infect Dis 68: 45–49.
-
20.
Chio A, Cocito D, Leone M, Giordana MT, Mora G, Mutani R, 2003. Guillain-Barre syndrome: a prospective, population-based incidence and outcome survey. Neurology 60: 1146–1150.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 74 | 74 | 20 |
| Full Text Views | 700 | 166 | 3 |
| PDF Downloads | 243 | 37 | 1 |
Guillain–Barré Syndrome After Zika Virus Infection in Brazil
Mateus Santana do Rosário
Mateus Santana do Rosário
Hospital Geral Roberto Santos, Secretaria Estadual da Saúde da Bahia, Salvador, Brazil.
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Pedro Antonio Pereira de Jesus
Pedro Antonio Pereira de Jesus
Hospital Geral Roberto Santos, Secretaria Estadual da Saúde da Bahia, Salvador, Brazil.
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Nikos Vasilakis
Nikos Vasilakis
Department of Pathology, Center for Biodefense and Emerging Infectious Diseases, Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas.
Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas.
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Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas.
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Daniel Santana Farias
Daniel Santana Farias
Hospital Geral Roberto Santos, Secretaria Estadual da Saúde da Bahia, Salvador, Brazil.
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Marco Antônio Caires Novaes
Marco Antônio Caires Novaes
Hospital São Rafael, Fundação Monte Tabor, Salvador, Brazil.
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Sueli Guerreiro Rodrigues
Sueli Guerreiro Rodrigues
Seção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas/SVS/MS, Ananindeua, Brazil.
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Lívia Caricio Martins
Lívia Caricio Martins
Seção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas/SVS/MS, Ananindeua, Brazil.
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Pedro Fernando da Costa Vasconcelos
Pedro Fernando da Costa Vasconcelos
Seção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas/SVS/MS, Ananindeua, Brazil.
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Albert Icksang Ko
Albert Icksang Ko
Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut.
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Luiz Carlos Junior Alcântara
Luiz Carlos Junior Alcântara
Centro de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil.
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Isadora Cristina de Siqueira
Isadora Cristina de Siqueira
Centro de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil.
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Zika virus (ZIKV) is an emerging flavivirus, which has caused a widespread outbreak in the Americas. Shortly after its introduction in 2015, a cluster of cases with Guillain–Barré syndrome was detected in Brazil. Herein, we describe two cases from the city of Salvador, who developed ascending paresis after an acute exanthematous illness. The patients were admitted to the intensive care unit with tetraparesis and cranial nerve palsy, which resolved after intravenous administration of human immunoglobulin. Serological evaluation detected IgM-specific ZIKV antibodies. In regions of Zika virus transmission, health-care workers must be aware of the potential severe neurological complications associated with ZIKV infection and be prepared to provide prompt diagnosis, treatment, and supportive care.
Author Notes
Authors' addresses: Mateus Santana do Rosário, Centro de Pesquisas Gonçalo Moniz, Fundacao Oswaldo Cruz (FIOCRUZ), Salvador, Brazil, and Hospital Geral Roberto Santos, Secretaria de Saude do Estado da Bahia, Salvador, Brazil, E-mail: drmateusan@gmail.com. Pedro Antonio Pereira de Jesus and Daniel Santana Farias, Hospital Geral Roberto Santos, Secretaria de Saude do Estado da Bahia, Salvador, Brazil, E-mails: papj@terra.com.br and danielfarias1@hotmail.com. Nikos Vasilakis, Department of Pathology, Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, TX, E-mail: nivasila@utmb.edu. Marco Antônio Caires Novaes, Hospital São Rafael, Fundação Monte Tabor, Salvador, Bahia, Brazil, E-mail: macnovaes@yahoo.com.br. Sueli Guerreiro Rodrigues, Lívia Caricio Martins, and Pedro Fernando da Costa Vasconcelos, Department of Arbovirology and Hemorrhagic Fevers, Evandro Chagas Institute, Belém, Brazil, E-mail: suelirodrigues@iec.pa.gov.br, liviamartins@iec.pa.gov.br, and pedrovasconcelos@iec.pa.gov.br. Albert Icksang Ko, Centro de Pesquisas Gonçalo Moniz, Fundacao Oswaldo Cruz (FIOCRUZ), Salvador, Brazil, and Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT, E-mail: albert.ko@yale.edu. Luiz Carlos Junior Alcântara and Isadora Cristina de Siqueira, Centro de Pesquisas Gonçalo Moniz, Fundacao Oswaldo Cruz (FIOCRUZ), Salvador, Brazil, E-mails: lalcan@bahia.fiocruz.br and isadora.siqueira@bahia.fiocruz.br.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Musso D, Cao-Lormeau VM, Gubler DJ, 2015. Zika virus: following the path of dengue and chikungunya? Lancet 386: 243–244.
-
2.
Macnamara FN, 1954. Zika virus: a report on three cases of human infection during an epidemic of jaundice in Nigeria. Trans R Soc Trop Med Hyg 48: 139–145.
-
3.
Hayes EB, 2009. Zika virus outside Africa. Emerg Infect Dis 15: 1347–1350.
-
4.
Duffy MR, Chen T-H, Hancock WT, Powers AM, Kool JL, Lanciotti RS, Pretrick M, Marfel M, Holzbauer S, Dubray C, Guillaumot L, Griggs A, Bel M, Lambert AJ, Laven J, Kosoy O, Panella A, Biggerstaff BJ, Fischer M, Hayes EB, 2009. Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med 360: 2536–2543.
-
5.
Ioos S, Mallet HP, Leparc Goffart I, Gauthier V, Cardoso T, Herida M, 2014. Current Zika virus epidemiology and recent epidemics. Med Mal Infect 44: 302–307.
-
6.
Cao-Lormeau VM, Roche C, Teissier A, Robin E, Berry AL, Mallet HP, Sall AA, Musso D, 2014. Zika virus, French Polynesia, South Pacific, 2013. Emerg Infect Dis 20: 1085–1086.
-
7.
Roth A, Mercier A, Lepers C, Hoy D, Duituturaga S, Benyon E, Guillaumot L, Souares Y, 2014. Concurrent outbreaks of dengue, chikungunya and Zika virus infections: an unprecedented epidemic wave of mosquito-borne viruses in the Pacific 2012–2014. Euro Surveill 19: 1–8.
-
8.
Zanluca C, De Melo VCA, Mosimann ALP, Santos GI, Santos CN, Luz K, 2015. First report of autochthonous transmission of Zika virus in Brazil. Mem Inst Oswaldo Cruz 110: 569–572.
-
9.
Campos GS, Bandeira AC, Sardi SI, 2015. Zika virus outbreak, Bahia, Brazil. Emerg Infect Dis 21: 1885–1886.
-
10.
Pan American Health Organization (PAHO)/World Health Organization (WHO), 2016. Epidemiological Update: Neurological Syndrome, Congenital Anomalies, and Zika Virus Infection. Washington, DC: PAHO/WHO.
-
11.
Cao-Lormeau V-M, Blake A, Mons S, Lastère S, Roche C, Vanhomwegen J, Dub T, Baudouin L, Teissier A, Larre P, Vial AL, Decam C, Choumet V, Halstead SK, Willison HJ, Musset L, Manuguerra JC, Despres P, Fournier E, Mallet HP, Musso D, Fontanet A, Neil J, Ghawché F, 2016. Guillain-Barré Syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study. Lancet 387: 1531–1539.
-
12.
Wakerley BR, Uncini A, Yuki N, GBS Classification Group, 2014. Guillain–Barré and Miller Fisher syndromes: new diagnostic classification. Nat Rev Neurol 10: 537–544.
-
13.
Hughes RAC, Newsom-Davis JM, Perkin GD, Pierce JM, 1978. Controlled trial prednisolone in acute polyneuropathy. Lancet 312: 750–753.
-
14.
Rodriguez-Morales AJ, 2015. Zika: the new arbovirus threat for Latin America. J Infect Dev Ctries 9: 684–685.
-
15.
Garg R, Malhotra H, Jain A, Malhotra K, 2015. Dengue-associated neuromuscular complications. Neurol India 63: 497–516.
-
16.
El Amrani M, De Monredon J, Wielanek AC, Roger JC, Serveaux JP, 2007. Guillain-Barré syndrome complicating a chikungunya virus infection. Neurology 69: 2105–2106.
-
17.
DVIS/CIEVS, 2015. Informe Epidemiológico Doença Exantemática/Zika Vírus. Salvador-Ba. n 9. Available at: http://www.cievs.saude.salvador.ba.gov.br/boletins-epidemiologicos/boletimsindrexant_n.9agostorev. Accessed August 5, 2016.
-
18.
Oehler E, Watrin L, Larre P, Leparc-Goffart I, Lastere S, Valour F, Baudouin L, Mallet H, Musso D, Ghawche F, 2014. Zika virus infection complicated by Guillain-Barre syndrome: case report, French Polynesia, December 2013. Euro Surveill 19: 7–9.
-
19.
Campos GS, Pinho ACO, Brandao CJDF, Bandeira AC, Sardi SI, 2015. Dengue virus 4 (DENV-4) re-emerges after 30 years in Brazil: cocirculation of DENV-2, DENV-3, and DENV-4 in Bahia. Jpn J Infect Dis 68: 45–49.
-
20.
Chio A, Cocito D, Leone M, Giordana MT, Mora G, Mutani R, 2003. Guillain-Barre syndrome: a prospective, population-based incidence and outcome survey. Neurology 60: 1146–1150.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 74 | 74 | 20 |
| Full Text Views | 700 | 166 | 3 |
| PDF Downloads | 243 | 37 | 1 |