Subacute painful lumbosacral polyradiculoneuropathy in immunocompromised patients

J Neurol Sci. 1999 Jan 1;162(1):91-3. doi: 10.1016/s0022-510x(98)00282-2.

Abstract

The syndrome of inflammatory subacute lumbosacral polyradiculoneuropathy (SLP) has been reported in acquired immunodeficiency syndrome (AIDS) patients in association with cytomegalovirus infection and is only partially amenable to anti-viral therapy. We report three cases of relatively benign inflammatory painful SLP in two non-AIDS, immunosuppressed patients and one who HIV-seroconversed at the time of clinical presentation. SLP developed: (1) in association with HIV seroconversion; (2) during ECHO virus infection in a patient with common variable immune deficiency; and (3) after a severe systemic infection that induced transient immunosuppression due to Epstein-Barr virus reactivation. This report expands the spectrum of viruses associated with acute and subacute lumbosacral polyradiculoneuropathy and may shed light on its possible pathogenesis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Agammaglobulinemia / complications*
  • Back Pain / etiology*
  • Back Pain / therapy
  • Diabetes Mellitus, Type 1 / complications
  • Epstein-Barr Virus Infections / complications*
  • HIV Seropositivity / complications*
  • Humans
  • Male
  • Peripheral Nervous System Diseases / etiology
  • Peripheral Nervous System Diseases / pathology*