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格林-巴利氏综合症(GBS)作为急性病毒性肝炎的并发症极为罕见。至今未见有关与 GBS 相关急性δ肝炎病毒(HDV)任何报道。本文作者报道1例与急性 HDV 重叠感染及慢性乙型肝炎相关的 GBS,病例资料患者男性,30岁。因乏力,厌食,尿色加深及肝脏生化试验轻度异常3个月而入院。后因出现下肢上行性进行性麻痹症状而住入神经科病房。神经系统检查发现四肢肌力减退,尤以左下肢,双膝深腱反射消失,四肢对针刺感觉减弱。神经症状出现7天后查脑脊液(CSF),蛋白122mg/dl,淋巴细胞为10。随后于11、18和27天随访 CSF 结果均相同。CSF 中免疫球蛋白为 IgG 84mg%,IgA9.6mg%,
Guillain-Barre syndrome (GBS) is extremely rare as a complication of acute viral hepatitis. No reports of acute hepatitis C virus (HDV) associated with GBS have so far been reported. The authors report a case of GBS associated with acute HDV overlap infection and chronic hepatitis B, and the male patient, age 30, was included in the data. Due to fatigue, anorexia, dark urine and liver biochemical tests mild abnormal 3 months and admitted to hospital. After due to the emergence of lower extremities progressive paralysis and admitted to the neurological ward. Nervous system examination found that muscle weakness in the limbs, especially in the left lower extremities, knees deep tendon reflex disappeared, acupuncture limbs feel weakened. Cerebrospinal fluid (CSF), protein 122 mg / dl, and lymphocyte 10 were found after 7 days of neurological symptoms. Follow-up CSF outcomes were the same on days 11, 18, and 27. The immunoglobulins in CSF are IgG 84 mg%, IgA 9.6 mg%