PMID- 27477576
OWN - NLM
STAT- MEDLINE
DCOM- 20170330
LR  - 20171012
IS  - 1882-0654 (Electronic)
IS  - 0009-918X (Linking)
VI  - 56
IP  - 8
DP  - 2016 Aug 31
TI  - [Guillan-Barre syndrome following scrub typus: two case reports].
PG  - 577-9
LID - 10.5692/clinicalneurol.cn-000864 [doi]
AB  - Case 1: A 66-year-old man was admitted because of progressive gait disturbance 
      and dysphagia after developing red rash. He was diagnosed as Guillain-Barre 
      syndrome (GBS) and treated by intravenous immunoglobulin therapy (IVIg). Two 
      weeks later, he could swallow and walk without any abnormalities. Case 2: A 
      58-year-old woman was admitted because of gait disturbance, bilateral peripheral 
      facial nerve palsies, and respiratory failure one week after developing fever and 
      rash. She was diagnosed as GBS and treated with IVIg. She underwent mechanical 
      ventilation, while she could wean off it one month later and her limb strengths 
      improved. We confirmed both patients had scrub typhus by serological studies. 
      Peripheral neuropathy is one of the complications of scrub typhus. In addition, 
      this disease sometimes leads to severe GBS. GBS should be included in 
      differential diagnosis when peripheral neuropathies develop in the course of 
      treating scrub typhus, and we should keep in mind that scrub typhus is one of the 
      causes of GBS.
FAU - Sakai, Katsuya
AU  - Sakai K
AD  - Division of Neurology, Respirology, Endocrinology and Metabolism, Department of 
      Internal Medicine, Faculty of Medicine, University of Miyazaki.
FAU - Ishii, Nobuyuki
AU  - Ishii N
FAU - Ebihara, Yuka
AU  - Ebihara Y
FAU - Mochizuki, Hitoshi
AU  - Mochizuki H
FAU - Shiomi, Kazutaka
AU  - Shiomi K
FAU - Nakazato, Masamitsu
AU  - Nakazato M
LA  - jpn
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20160729
PL  - Japan
TA  - Rinsho Shinkeigaku
JT  - Rinsho shinkeigaku = Clinical neurology
JID - 0417466
RN  - 0 (Antibodies, Bacterial)
RN  - 0 (Biomarkers)
RN  - 0 (Immunoglobulins, Intravenous)
SB  - IM
MH  - Aged
MH  - Antibodies, Bacterial/blood
MH  - Biomarkers/blood
MH  - Diagnosis, Differential
MH  - Female
MH  - Guillain-Barre Syndrome/drug therapy/*etiology
MH  - Humans
MH  - Immunoglobulins, Intravenous/administration & dosage
MH  - Male
MH  - Middle Aged
MH  - Orientia tsutsugamushi/immunology
MH  - Scrub Typhus/*complications/diagnosis
MH  - Serologic Tests
MH  - Severity of Illness Index
EDAT- 2016/08/02 06:00
MHDA- 2017/03/31 06:00
CRDT- 2016/08/02 06:00
PHST- 2016/08/02 06:00 [entrez]
PHST- 2016/08/02 06:00 [pubmed]
PHST- 2017/03/31 06:00 [medline]
AID - 10.5692/clinicalneurol.cn-000864 [doi]
PST - ppublish
SO  - Rinsho Shinkeigaku. 2016 Aug 31;56(8):577-9. doi: 
      10.5692/clinicalneurol.cn-000864. Epub 2016 Jul 29.