Multiple coinfections and Guillain Barré syndrome following outdoor travel to the American Northeast

William Farrington; Farzam Farahani; Kevin Garrett Tayon; Jaclyn Rudzinski; Mark Feldman; Kartavya Sharma

doi:10.1080/08998280.2023.2167049

Multiple coinfections and Guillain Barré syndrome following outdoor travel to the American Northeast

William Farrington, Farzam Farahani, Kevin Garrett Tayon, Jaclyn Rudzinski, Mark Feldman, Kartavya Sharma

Research output: Contribution to journal › Article › peer-review

Abstract

A 66-year-old immunocompetent man with preceding travel through the Northeastern United States developed Guillain-Barré syndrome. A broad search for infections revealed intraerythrocytic parasites on blood smear and positive polymerase chain reaction for Babesia microti; elevated IgM/IgG serologies for Ehrlichia chaffeensis; elevated IgM/IgG serologies and qualitative polymerase chain reaction for Epstein-Barr virus; and fecal culture growth of Arcobacter butzleri. In this report, we discuss the known or suspected association of these infectious agents with Guillain-Barré syndrome. This case also highlights the importance, in the setting of endemic exposure, of screening for multiple coinfections that can be transmitted by the same arthropod vector.

Original language	English (US)
Pages (from-to)	386-388
Number of pages	3
Journal	Baylor University Medical Center Proceedings
Volume	36
Issue number	3
DOIs	https://doi.org/10.1080/08998280.2023.2167049
State	Published - 2023

Keywords

Arcobacter
Epstein-Barr viremia
Guillain-Barre syndrome
babesiosis
enteritis
human monocytic ehrlichiosis
tick-borne illness

ASJC Scopus subject areas

General Medicine

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10.1080/08998280.2023.2167049

Cite this

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title = "Multiple coinfections and Guillain Barr{\'e} syndrome following outdoor travel to the American Northeast",

abstract = "A 66-year-old immunocompetent man with preceding travel through the Northeastern United States developed Guillain-Barr{\'e} syndrome. A broad search for infections revealed intraerythrocytic parasites on blood smear and positive polymerase chain reaction for Babesia microti; elevated IgM/IgG serologies for Ehrlichia chaffeensis; elevated IgM/IgG serologies and qualitative polymerase chain reaction for Epstein-Barr virus; and fecal culture growth of Arcobacter butzleri. In this report, we discuss the known or suspected association of these infectious agents with Guillain-Barr{\'e} syndrome. This case also highlights the importance, in the setting of endemic exposure, of screening for multiple coinfections that can be transmitted by the same arthropod vector.",

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author = "William Farrington and Farzam Farahani and Tayon, {Kevin Garrett} and Jaclyn Rudzinski and Mark Feldman and Kartavya Sharma",

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AU - Feldman, Mark

AU - Sharma, Kartavya

PY - 2023

Y1 - 2023

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Multiple coinfections and Guillain Barré syndrome following outdoor travel to the American Northeast

Abstract

Keywords

ASJC Scopus subject areas

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