• J. Child Neurol. · Jun 2009

    Association of Campylobacter jejuni infection with childhood Guillain-Barré syndrome: a case-control study.

    • Veena Kalra, Rama Chaudhry, Tarun Dua, Benu Dhawan, Jitendra K Sahu, and B Mridula.
    • Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110029, India. kalra.veena@gmail.com
    • J. Child Neurol. 2009 Jun 1; 24 (6): 664-8.

    AbstractA prospective case-control study was conducted to determine the association between Campylobacter jejuni infection and childhood Guillain-Barré syndrome in the Indian population. We found evidence of recent Campylobacter jejuni infection in 27.7% of patients with Guillain-Barré syndrome, as compared with 2.3% in neurological controls (P = .003) and 2.3% in nonneurological controls (P = .003). Of the 15 patients with Campylobacter jejuni infection, 8 (53.3%) reported having had diarrhea within 12 weeks before the onset of the neurologic illness. Our results suggest association between recent Campylobacter jejuni infection and bulbar weakness (P = .043). No statistical difference was observed between the Campylobacter jejuni positive and negative groups with respect to age, other clinical features, albuminocytological dissociation, and residual paralysis at follow-up. It is concluded that subclinical Campylobacter jejuni infection is an important antecedent illness in childhood Guillain-Barré syndrome in the Indian population.

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