Fisher's syndrome and group A streptococcal infection.
Group A beta-hemolytic streptococcus causes immune-mediated disorders such as acute rheumatic fever and acute glomerulonephritis. We describe a second patient with Fisher's syndrome (FS) from whom beta-hemolytic streptococcus was isolated. We performed a study of the antecedent pharyngeal symptoms in FS and Guillain-Barré syndrome. Sore throat was statistically more frequent in FS (18/24 cases, 75%) than in Guillain-Barré syndrome (29/58 cases, 50%). In a series, however, the association of FS with group A streptococcal infection was not shown. Some patients may develop FS after group A streptococcal infection, but the bacterium is not a major antecedent agent in FS.
Yuki
N
N
Department of Neurology, Dokkyo University School of Medicine, Shimotsuga, Tochigi, Japan. n-yuki@msn.com
Hirata
K
K
D000293:Adolescent; D015897:Comorbidity; D006801:Humans; D008297:Male; D019846:Miller Fisher Syndrome / Q000453:epidemiology / Q000209:etiology*; D016472:Motor Neuron Disease / Q000453:epidemiology; D009422:Nervous System Diseases / Q000453:epidemiology; D010612:Pharyngitis / Q000453:epidemiology; D011129:Polyradiculoneuropathy / Q000453:epidemiology; D012141:Respiratory Tract Infections / Q000453:epidemiology; D013290:Streptococcal Infections / Q000150:complications* / Q000453:epidemiology; D013297:Streptococcus pyogenes / Q000472:pathogenicity*; D014069:Tonsillitis / Q000150:complications* / Q000453:epidemiology / Q000382:microbiology