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Table 1 Clinical characteristics of HEV-associated GBS

From: Guillain-Barre syndrome caused by hepatitis E infection: case report and literature review

Reference

Country

No. of cases

Age

Sex

Delay hepatitis neurological manifestation

Nerve conduction study

Anti-glycoprotein antibody

IgM

HEV RNA

HEV genotype

ALT (IU/L)

 

CSF

Treatment

Recovery/Delay

Comorbidity

Bilirubin(μmol/L)

Protein level, mg/dL

Cell count (×10^6/L)

Sood 2000 [13]

India

1

50

M

5 days

AIDP

NT

+

NT

NT

114

242.82

186

0

Supportive

Full/1 month

None

Kumar 2002 [16]

India

1

35

M

17 days

AMSAN

NT

+

NT

NT

752

91.8

NT

NT

MV/IVIg

Full/2 weeks

None

Kamani 2005 [12]

India

1

58

F

9 days

NT

NT

+

NT

NT

1448

40.7

80

2

IVIg/PP

Full/12 days

None

Khanam 2008 [19]

Bangladesh

1

20

M

10 days

AIDP&AMSAN

NT

+

NT

NT

2509

61.56

190

0

MV

Full/12 days

None

Loly 2009 [14]

Belgium

1

66

M

Few days

AIDP

GM2+

+

NT

NT

1813

NM

172.2

NM

IVIg

Full/4 months

None

Cronin 2011 [15]

Ireland

1

40

M

Concomitant

AIDP

GM2+

+

NT

NT

57

NM

>500

0

MV/IVIg/PP

Full/6 months

None

Kamar 2011 [7]

France

1

60

F

Concomitant

AIDP

NT

+

Serum+

CSF-

3f

384

35

200

14

IVIg

Partial/18 months

None

Maurissen 2012 [17]

Belgium

1

51

F

Concomitant

AIDP

GM1&GM2+

+

Serum+

NT

2704

NM

61

15

IVIg

Full/1 week

None

Del Bello 2012 [20]

France

1

65

M

Concomitant

AIDP

NT

+

Serum+

3f

2000

NM

64

0

MV/IVIg/Ribavirin

partial/2 month

Severe myositis

Tse 2012 [21]

Hong Kong

1

60

F

3 days

AIDP

NT

+

NT

NT

2858

60

NM

NM

PP

Full/1 month

None

Santos 2013 [22]

Portugal

1

58

M

17 days

AIDP

NT

+

Serum+

3a

2320

114.74

181

4

MV/IVIg

partial/2 month

None

Sharma 2013 [23]

India

1

27

M

40 days

AIDP

NT

+

NT

NT

NM

NM

243

<5

IVIg

Full/NM

None

Geurtsvan-Kessel 2013 [24]

Bangladesh

11

mean: 24

NM

NM

NM

NT

+

Serum+(n = 1)

1(n = 1)

NM

NM

NM

NM

NM

NM

None

van den Berg 2014 [25]

Netherlands

10

mean: 54

6 M, 4F

Mean: 5 days

AIDP(n = 5)

AMAN(n = 1) AMSAN(n = 1) Equivocal(n = 2) Inexcitable(n = 1)

NT

+

Serum+(n = 3)

CSF-(n = 10)

3

Mean: 160.9

Mean: 13.3

NM

Mean:4.2

NM

NM

NM

Chen 2014 [26]

China

1

64

M

5 days

AIDP

GM2+

+

NT

NT

1461

156.9

88

10

MV/IVIg

Full/12 months

Encephalitis

Scharn 2014 [27]

Germany

1

50

M

7 days

AIDP & AMAN

+

Serum+ CSF-

3c

334

NM

81

<1

IVIg

Partial/5 months

None

Woolson 2014 [28]

NM

1

42

M

NM

NM

NT

+

Serum+

3

623

16

127

145

NM

Full/3 months

None

Comont 2014 [29]

France

1

73

M

Concomitant

NM

GM1+

+

Serum+ CSF+

3f

822

101

137

NM

IVIg

Full/2 months

None

Bandyopadhyay 2015 [30]

Japan

1

43

F

14 days

AIDP & AMAN

GM1+

+

Serum+CSF-

3

1950

85.5

350

12

MV/IVIg

Partial/NM

None

Higuchi 2015 [31]

Japan

1

49

M

10 days

AIDP

+

Serum+

3

1246

15.4

102

7

IVIg

Full/3 months

None

Perrin 2015 [32]

France

2

Mean: 57

1F, 1 M

Few days

AIDP

NT

+

Serum+(n = 1)

3f

Mean:216

Mean:20.6

Mean:173

NM

IVIg

Partial (n = 2)/Mean: 9 weeks

None

Fukae 2016 [33]

Japan

3

Mean: 53

3 M

NM

AIDP(n = 1)

MSF(n = 1)

GM1 + (n = 1)

GQ1b + (n = 1)

+

Serum+(n = 1)

NT

Mean: 230.3

NM

Mean: 91

Mean:5

IVIg

Full (n = 2)

partial(n = 1)/NM

None

Ji 2016 [34]

South Korea

1

58

M

75 days

NM

NT

+

NT

NT

525

23.59

44.6

0

IVIg

Full/12 months

None

Lei 2017 [35]

China

1

30

M

Concomitant

AIDP

NT

+

NT

NT

4502

83.96

344.19

0

IVIg

Full/3 months

None

Stevens 2017 [36]

Belgium

6

Mean:61

4 M, 2F

NM

AIDP(n = 1)

AMSAN(n = 1)

Equivocal(n = 1)

Demyelinating(n = 2)

Sensory neuropathy(n = 1)

+

Serum+(n = 2)

NT

Mean:762

Mean:39.27

Mean:69.4

Mean:4.8

IVIg(n = 4)

PP(n = 1)

supportive(n = 1)

Partial (n = 5)/3–6 months

Death(n = 1)/1 month

NM

Our case

China

1

58

M

11 days

AIDP

+

NT

NT

664

51.8

275.3

0

IVIg

Full/6 months

None

  1. F female, M male, HEV hepatitis E virus, ALT alanine aminotransferase, + positive, − negative, CSF cerebrospinal fluid, AIDP acute inflammatory demyelinating polyneuropathy, AMAN acute motor axonal neuropathy, AMSAN acute motor–sensory axonal neuropathy, MSF Miller Fisher syndrome, NM not mentioned, NT not tested, MV mechanical ventilation, IVIg intravenous immunoglobulin, PP plasmapheresis