title: Guillain-Barré syndrome following acute co-super-infection of hepatitis E virus and cytomegalovirus in a chronic hepatitis B virus carrier.
abstract: Guillain-Barré syndrome (GBS) is a rare neurological complication of hepatitis B. GBS presence in acute hepatitis E virus (HEV) and cytomegalovirus (CMV) infection is also sporadically reported. Here, a rare case of GBS in a chronic Hepatitis B virus carrier co-infected with HEV and CMV was reported. Based on the analysis on the progress of the manifestations and virus serological detection results, it could be concluded that GBS might mostly likely result from super-infection of HEV and CMV. This case report is clinically important in that it provides a good example of differential diagnosis and appropriate treatment on such a rare but life-threatening case. J. Med. Virol. 89:368-372, 2017. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Infectious Diseases, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.
authors.forename: Jian-Hua
authors.initials: JH
authors.lastname: Lei
authors.affiliation: Department of Infectious Diseases, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Tian
authors.affiliation: Department of Infectious Diseases, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.
authors.forename: Hong-Yu
authors.initials: HY
authors.lastname: Luo
authors.affiliation: Department of Infectious Diseases, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.
authors.forename: Zi
authors.initials: Z
authors.lastname: Chen
authors.affiliation: Department of Infectious Diseases, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.
authors.forename: Feng
authors.initials: F
authors.lastname: Peng
mesh_terms: D000328:Adult; D003586:Cytomegalovirus Infections / Q000150:complications*; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000473:pathology*; D019694:Hepatitis B, Chronic / Q000150:complications*; D016751:Hepatitis E / Q000150:complications*; D006801:Humans; D008297:Male
keywords: Guillain-Barré syndrome; chronic hepatitis B virus carrier; cytomegalovirus; hepatitis E virus; neurological complication