دورية أكاديمية
Severe bilateral amyotrophic neuralgia associated with major dysphagia secondary to acute hepatitis E [v2; ref status: indexed, http://f1000r.es/2q8]
العنوان: | Severe bilateral amyotrophic neuralgia associated with major dysphagia secondary to acute hepatitis E [v2; ref status: indexed, http://f1000r.es/2q8] |
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المؤلفون: | Xavier Moisset, Nicolas Vitello, Elodie Bicilli, Romain Courtin, Anna Ferrier, Frederic Taithe, Clément Lahaye, Ali Ait Hssain, Cyril Garrouste, Clavelou Pierre |
المصدر: | F1000Research, Vol 2 (2014) |
بيانات النشر: | F1000 Research Ltd, 2014. |
سنة النشر: | 2014 |
المجموعة: | LCC:Medicine LCC:Science |
مصطلحات موضوعية: | Musculoskeletal Pain & Analgesia, Neuromuscular Diseases, Viral Infections (without HIV), Medicine, Science |
الوصف: | Introduction: Several acute neurological syndromes can be triggered by immune events. Hepatitis E virus (HEV), an emerging infectious disease, can be one of these triggers. Case report: We report the case of a 36-year-old man that presented nausea and a dull abdominal pain for a week and then felt an acute neuralgic pain involving both shoulders that lasted for 8 to 10 hours. Immediately after, the patient presented a severe bilateral muscular weakness of the proximal part of both upper limbs, corresponding to an amyotrophic neuralgia. Two days after the shoulder pain, the patient presented a dysphagia necessitating tube feeding. A blood sample confirmed hepatitis caused by hepatitis E virus (HEV; genotype 3F). Oral feeding resumed progressively after five months. The patient was fully independent for the activities of daily living but was still unable to work after six months. Conclusion: Amyotrophic neuralgia and hepatitis E are both under-diagnosed. It is noteworthy that HEV can trigger amyotrophic neuralgia. Antiviral drugs, oral steroids and intravenous immunoglobulins can be proposed, but the optimal treatment has not yet been determined. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2046-1402 |
Relation: | http://f1000research.com/articles/2-259/v2; https://doaj.org/toc/2046-1402 |
DOI: | 10.12688/f1000research.2-259.v2 |
URL الوصول: | https://doaj.org/article/73449518d4364459833f19a67a0b130f |
رقم الأكسشن: | edsdoj.73449518d4364459833f19a67a0b130f |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20461402 |
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DOI: | 10.12688/f1000research.2-259.v2 |