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Souza CO, Vieira MACS, Batista FMA, Eulálio KD, Neves JMM, Sá LC, Monteiro LCR, Almeida-Neto WS, Azevedo RSS, Costa DL, Cruz ACR. Serological Markers of Recent Campylobacter jejuni Infection in Patients with Guillain-Barré Syndrome in the State of Piauí, Brazil, 2014-2016. Am J Trop Med Hyg 2018; 98:586-588. [PMID: 29313470 DOI: 10.4269/ajtmh.17-0666] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
In countries where poliomyelitis has been eradicated, Guillain-Barré syndrome (GBS) is the leading cause of acute flaccid paralysis. The range of infections that precede GBS in Brazil is unknown. Campylobacter jejuni infection is the most frequent trigger of GBS worldwide. Given the lack of systematic surveillance of diarrheal diseases, particularly in adults, the incidence of enteritis caused by C. jejuni in developing countries is unknown. From 2014 to 2016, pretreatment serum samples from 63 GBS patients were tested by immunoglobulin M (IgM) enzyme-linked immunosorbent assay for C. jejuni. Campylobacter jejuni IgM antibodies were detected in 17% (11/63) of the samples. There was no association between serological positivity (IgM) for C. jejuni and the occurrence of diarrhea among the investigated cases (P = 0.36). Hygiene measures, basic sanitation, and precautions during handling and preparation of food of animal origin may help prevent acute flaccid paralysis.
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Affiliation(s)
- Cintya O Souza
- Department of Bacteriology and Mycology, Evandro Chagas Institute, Ananindeua, Pará, Brazil
| | - Marcelo A C S Vieira
- Post-graduation Program in Virology, Evandro Chagas Institute, Ananindeua, Pará, Brazil.,Department of Health Surveillance, Teresina Municipal Health Secretariat, Teresina, Piauí, Brazil.,Natan Portella Institute of Tropical Medicine, Piauí State Health Secretariat, Teresina, Piauí, Brazil
| | - Francisca M A Batista
- Department of Health Surveillance, Piauí State Health Secretariat, Teresina, Piauí, Brazil
| | - Kelsen D Eulálio
- Department of Health Surveillance, Teresina Municipal Health Secretariat, Teresina, Piauí, Brazil.,Natan Portella Institute of Tropical Medicine, Piauí State Health Secretariat, Teresina, Piauí, Brazil
| | | | - Laís C Sá
- Department of Health Surveillance, Piauí State University Hospital, Teresina, Piauí, Brazil
| | - Leni C R Monteiro
- Department of Bacteriology and Mycology, Evandro Chagas Institute, Ananindeua, Pará, Brazil
| | - Walfrido S Almeida-Neto
- Natan Portella Institute of Tropical Medicine, Piauí State Health Secretariat, Teresina, Piauí, Brazil
| | - Raimunda S S Azevedo
- Department of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua, Pará, Brazil
| | - Dorcas L Costa
- Department of Mother and Child Health, Federal University of Piauí, Teresina, Piauí, Brazil
| | - Ana C R Cruz
- Department of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua, Pará, Brazil
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Vieira MACS, Romano APM, Borba AS, Silva EVP, Chiang JO, Eulálio KD, Azevedo RSS, Rodrigues SG, Almeida-Neto WS, Vasconcelos PFC. West Nile Virus Encephalitis: The First Human Case Recorded in Brazil. Am J Trop Med Hyg 2015; 93:377-9. [PMID: 26055749 DOI: 10.4269/ajtmh.15-0170] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Accepted: 04/14/2015] [Indexed: 11/07/2022] Open
Abstract
A Brazilian ranch worker with encephalitis and flaccid paralysis was evaluated in the regional Acute Encephalitis Syndromic Surveillance Program. This was the first Brazilian patient who met the Centers for Disease Control and Prevention (CDC) confirmation criteria for West Nile virus disease. Owing to the overlapping of neurological manifestations attributable to several viral infections of the central nervous system, this report exemplifies the importance of human acute encephalitis surveillance. The syndromic approach to human encephalitis cases may enable early detection of the introduction of unusual virus or endemic occurrence of potentially alarming diseases within a region.
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Affiliation(s)
- Marcelo A C S Vieira
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Alessandro P M Romano
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Amaríles S Borba
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Eliana V P Silva
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Jannifer O Chiang
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Kelsen D Eulálio
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Raimunda S S Azevedo
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Sueli G Rodrigues
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Walfrido S Almeida-Neto
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
| | - Pedro F C Vasconcelos
- Natan Portella Institute of Tropical Medicine, Piauí, Brazil; Ministry of Health, Brasília, Brazil; Municipal Health Department, Teresina, Brazil; Evandro Chagas Institute, Ananindeua, Brazil
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