Gullian Barr综合征-一个罕见的疾病病例报告

Shaik Asha Begum, T. V. Kumar, Shaik Abdul Rahaman, S. Rani, Sreya Kosanam, V. Y.
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摘要

吉兰-巴里综合征也被称为吉兰- barr - strohl综合征,兰德里麻痹症,感染性多神经炎,这是一种罕见的疾病,每年每10万人中有一到两个病例,这是一种自身免疫系统疾病,患者自身免疫系统受损神经,导致肌肉无力,有时甚至瘫痪。GBS的症状可能持续数周至数年。大多数人完全康复,但有些人会有永久性的神经损伤。有些人死于GBS。已知有几件事会引发GBS。大约三分之二的GBS患者在出现症状前几周曾出现腹泻或呼吸道疾病。引起腹泻的空肠弯曲杆菌感染是GBS最常见的危险因素之一。人们在感染了流感、巨细胞病毒、爱泼斯坦巴尔病毒和寨卡病毒等其他疾病后也会患上GBS。很少有人在接种某些疫苗后几天或几周内患上GBS。它可以由弯曲杆菌感染引起,当实验室检测到粪便、身体组织或液体中的弯曲杆菌时,就可以诊断出弯曲杆菌感染。该测试可以是分离细菌的培养,也可以是检测细菌遗传物质的快速诊断测试。本病例报告的主要目的是提出一个经典病例的这种情况下,强调不同的治疗方案的认识,并提倡转诊到一个给定的医生其潜在的严重性。治疗GBS包括抗生素,只要腹泻持续就多喝水,血浆交换,免疫球蛋白治疗。
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Gullian Barr Syndrome – A Rare Disease Case Report
Guillain-Baree syndrome also called guillain–Barré–Strohl syndrome, Landry's paralysis, post - infectious polyneuritis whichis a rare, at one or two cases per 100, 000 people every year, where auto-immune disorder in which a persons own immune system damaged the nerves, causing muscule weakness and sometimes paralysis. GBS can cause symptoms that last for a few weeks to several years. Most people recover fully, but some have permanent nerve damage. some people have died of GBS. Several things are known to tigger GBS. About two-thirds of people with GBS had diarrhea or a respiratory illness several weeks before developing symptoms. Infection with campylobacter jejuni, which causes diarrhea, is one of the most common risk factors for GBS. People can develop GBS after some other infections, such as flu, cytomegalovirus, Epstein barr virus, and zika virus. Very rarely, people have developed GBS in the days or weeks after receiving certain vaccines. It can be caused by campylobacter infection that is diagnosed when a laboratory tests detect campylobacter bacteria in stool, body tissue, or fluids. The test could be a culture that isolates the bacteria or a rapid diagnostic test that detects genetic material of the bacteria. The major aim of this case report is to present a classic case of this condition, to highlight an awareness of differing treatment options, and to advocate referral to a given its physician potential severity. Treatment for GBS including antibiotics, drink extra fluids as long as diarrhea lasts, plasma exchange, immunoglobulin therapy2.
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