Batı Nil Virüsü Enfeksiyonuna Sekonder Gelişen Akut Demiyelinizan Polinöropati Olgusu

Abstract

Batı Nil virüsü, asemptomatik bir klinik tablodan ağır ensefalit ve menenjite varan geniş bir klinik varyasyonla prezente olabilir. Akut demiyelinizan polinöropati birlikteliği çok nadir bildirilmiştir. 60 yaş erkek hasta bilinç bozukluğu, kol ve bacaklarda güçsüzlük şikayetleri ile başvurdu. Kliniği, laboratuvar, beyin omurilik sıvısı ve elektrofizyoloji bulguları ön planda Guillain Barre sendromu ile uyumlu idi. Ateş, bilinç bozukluğu ve spastisite gibi atipik bulguların eşlik etmesi nedeniyle detaylı araştırılan olguda serum BN virüsü IgM testi pozitif bulundu. Türkiye’den bildirilen ilk olgu olması nedeniyle sunulmaya değer görüldü.

Keywords

• Batı Nil virüsü; Guillain Barre sendromu; polinöropati

A Case of Acute Demyelinating Polyneuropathy Secondary to West Nile Virus Infection

Abstract

West Nile virus can lead to a wide range of clinical symptoms from asymptomatic disease to severe meningitis and encephalitis. The association of acute demyelinating polyneuropathy is rarely reported. A 60-year-old male patient presented with complaints of impaired consciousness and weakness in his arms and legs. Clinical findings, laboratory, cerebrospinal fluid and electrophysiology findings were consistent with Guillain Barre syndrome. Serum BN virus IgM test was found to be positive in the patient who was investigated because of atypical symptoms such as fever, impaired consciousness and spasticity. Our study was seen worthy to be presented due to the first case reported from Turkey.

Keywords

• West Nile virus; Guillain-Barre syndrome; polyneuropathy

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