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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.
SUBMITTER: Zheng X
PROVIDER: S-EPMC5778630 | biostudies-literature | 2018 Jan
REPOSITORIES: biostudies-literature
Zheng Xiaoqin X Yu Liang L Xu Qiaomai Q Gu Silan S Tang Lingling L
BMC infectious diseases 20180123 1
<h4>Background</h4>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.<h4>Case presentation</h4>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 ce ...[more]