tailieunhanh - Báo cáo y học: " Enteritis caused by Campylobacter jejuni followed by acute motor axonal neuropathy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Enteritis caused by Campylobacter jejuni followed by acute motor axonal neuropathy: a case report | Miljkovic-Selimovic et al. Journal of Medical Case Reports 2010 4 101 http content 4 1 101 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Enteritis caused by Campylobacter jejuni followed by acute motor axonal neuropathy a case report R i 1inWv i --Soliri i v i - 1Rr i I av rnir2 K lraric3 I ai-kiraci Mn4 I Pricca4 I II iHica Cl iti irlzcix a5 Biljdnd Ivliljkovic Selimovic Dldgdlld Ldvinic Olgd Ivioiic Ldl King Ng Ldwience rlice Ljubicd dutuikovd Branislava Kocic1 Tdtjdnd Bdbic6 Ljiljdnd Ristic6 Sloboddn Apostolski2 Abstract Introduction Campylobacter species represent the mdin cduse of bdcteridl didrrhed in developed countries dnd one of the most frequent cduses of enterocolitis in developing ones. In some pdtients Campylobacter jejuni infection of the gdstrointestindl tract hds been observed ds dn dntecedent illness of dcute motor dxondl neuropdthy d vdridnt of Guilldin-Bdrré syndrome. Case presentation We present d cdse of dcute motor dxondl neuropdthy following infection with Campylobacter jejuni subspecies jejuni biotype II hedt stdble serotype O 19. A 46-yedr-old Cducdsidn mdn developed dcute motor neuropdthy 10 ddys dfter mild intestindl infection. The proximdl dnd distdl muscle wedkness of his upper dnd lower extremities wds dssocidted with serum dntibodies to Campylobacter jejuni dnd dntibodies to gdnglioside GM1. The electromyogrdphic signs of neuropdthic muscle dction potentidls with dlmost normdl nerve conduction velocities indicdted dxondl neuropdthy. Our pdtient s clinicdl dnd electrophysiologicdl fedtures fulfilled criterid for the didgnosis of dn dcute motor dxondl neuropdthy d subtype of Guilldin-Bdrré syndrome. Conclusion As this is the first cdse of dcute motor dxondl neuropdthy following infection with Campylobacter jejuni subspecies jejuni reported from the Bdlkdn dred the present findings indicdte the need for systemdtic studies dnd further clinicdl epidemiologicdl dnd microbiologicdl .