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Reversible sensory polyneuropathy during an arboviral outbreak in Salvador, Bahia, Brazil

2018; Elsevier BV; Volume: 391; Linguagem: Inglês

10.1016/j.jns.2018.05.009

1878-5883

Mateus Santana do Rosário, Pedro Antônio Pereira de Jesus, Daniel Santana Farias, Marco Antônio Caires Novaes, Cleiton Silva Santos, Sasha R. Azar, Nikos Vasilakis, Daniel Lima de Moura, Fernanda Washington de Mendonça Lima, Luíz Carlos Júnior Alcântara, Isadora Cristina de Siqueira,

Mosquito-borne diseases and control

Guillain-Barré syndrome (GBS), an acute, immune- mediated polyradiculoneuropathy, typically occurs in response to minor viral and bacterial infections. Associations between this syndrome and previous arboviral infection, such as dengue (DENV), chikungunya (CHIKV) or Zika virus (ZIKV), have been reported in some studies [ [1] Verma R. Sahu R. Holla V. Neurological manifestations of dengue. J. Neurol. Sci. 2014; 346 (Internet). Elsevier B.V. Available from: https://doi.org/10.1016/j.jns.2014.08.044%5Cnhttp://linkinghub.elsevier.com/retrieve/pii/S1477893914000416: 26-34 Abstract Full Text Full Text PDF PubMed Scopus (80) Google Scholar , [2] Pinheiro T.J. Guimarães L.F. Silva M.T.T. Soares C.N. Neurological manifestations of Chikungunya and Zika infections. Arq. Neuropsiquiatr. 2016; 74 (Internet). Available from:: 937-943http://www.ncbi.nlm.nih.gov/pubmed/27901259 Crossref PubMed Google Scholar ]. GBS usually manifests as generalized weakness and areflexia, accompanied by sensory and autonomic disturbances [ [3] Wakerley B.R. Uncini A. Yuki N. Attarian S. Barreira A.A. Chan Y.-C. et al. Guillain–Barré and Miller Fisher syndromes—new diagnostic classification. Nat. Rev. Neurol. 2014; 10 (Internet Nature Publishing Group). Available from:: 537-544http://www.nature.com/doifinder/10.1038/nrneurol.2014.138 Crossref PubMed Scopus (285) Google Scholar ]. Mild neurologic syndromes associated with ZIKV infection have previously been described, characterized by short-term isolated sensory disturbances [ [4] Medina M.T. England J.D. Lorenzana I. Medina-Montoya M. Alvarado D. De Bastos M. et al. Zika virus associated with sensory polyneuropathy. J. Neurol. Sci. 2016; 369 (Internet. Elsevier B.V.). Available from:: 271-272https://doi.org/10.1016/j.jns.2016.08.044 Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar , [5] Nascimento O.J.M. Frontera J.A. Amitrano D.A. de Filipis A.M.B. IRF Da SIlva Zika virus infection-associated acute transient polyneuritis. Neurology. 2017; 88: 2230-2232 Crossref Scopus (15) Google Scholar ]. Here we describe five cases of reversible sensory polyneuropathy occurring during the 2015 arboviral outbreak in Salvador, Bahia-Brazil.