Zika virus outbreak in New Caledonia and Guillain-Barré syndrome: a case-control study

doi:10.1007/s13365-018-0621-9

. 2018 Jun;24(3):362-368.

doi: 10.1007/s13365-018-0621-9. Epub 2018 Mar 28.

Zika virus outbreak in New Caledonia and Guillain-Barré syndrome: a case-control study

Olivier Simon¹, Blandine Acket², Carole Forfait³, Dominique Girault⁴, Ann-Claire Gourinat⁵, Pauline Millon⁶, Maguy Daures³, Jessica Vanhomwegen⁷, Segolene Billot⁶, Antoine Biron⁵, Damien Hoinard⁷, Elodie Descloux⁸, David Guyon⁶, Jean Claude Manuguerra⁷, Sylvie Laumond³, Nicolas Molko⁶, Myrielle Dupont-Rouzeyrol⁴

Affiliations

¹ Department of Neurology, Gaston Bourret Territorial Hospital, Noumea, New Caledonia. olivier.simon@cht.nc.
² Department of Neurophysiology, Centre Hospitalier Universitaire, Toulouse, France.
³ New Caledonia Health Department, Noumea, New Caledonia.
⁴ Dengue and Arboviruses Expertise and Research Unit, Institut Pasteur International Network, Institut Pasteur in New Caledonia, Nouméa, New Caledonia.
⁵ Immuno-Serology and Molecular Biology Laboratory, Institut Pasteur International Network, Institut Pasteur in New Caledonia, Noumea, New Caledonia.
⁶ Department of Neurology, Gaston Bourret Territorial Hospital, Noumea, New Caledonia.
⁷ Environment and Infectious Risks Unit, Institut Pasteur, Paris, France.
⁸ Department of Infectious Diseases, Gaston Bourret Territorial Hospital, Noumea, New Caledonia.

PMID: 29594985
DOI: 10.1007/s13365-018-0621-9

Zika virus outbreak in New Caledonia and Guillain-Barré syndrome: a case-control study

Olivier Simon et al. J Neurovirol. 2018 Jun.

. 2018 Jun;24(3):362-368.

doi: 10.1007/s13365-018-0621-9. Epub 2018 Mar 28.

Authors

Affiliations

¹ Department of Neurology, Gaston Bourret Territorial Hospital, Noumea, New Caledonia. olivier.simon@cht.nc.
² Department of Neurophysiology, Centre Hospitalier Universitaire, Toulouse, France.
³ New Caledonia Health Department, Noumea, New Caledonia.
⁴ Dengue and Arboviruses Expertise and Research Unit, Institut Pasteur International Network, Institut Pasteur in New Caledonia, Nouméa, New Caledonia.
⁵ Immuno-Serology and Molecular Biology Laboratory, Institut Pasteur International Network, Institut Pasteur in New Caledonia, Noumea, New Caledonia.
⁶ Department of Neurology, Gaston Bourret Territorial Hospital, Noumea, New Caledonia.
⁷ Environment and Infectious Risks Unit, Institut Pasteur, Paris, France.
⁸ Department of Infectious Diseases, Gaston Bourret Territorial Hospital, Noumea, New Caledonia.

PMID: 29594985
DOI: 10.1007/s13365-018-0621-9

Abstract

Zika virus (ZIKV) infection has been associated with neurologic disorders including Guillain-Barré syndrome (GBS). In New Caledonia during the ZIKV outbreak (2014-2015), case-control and retrospective studies have been performed to assess the link between ZIKV and GBS. Among the 15 cases included, 33% had evidence of a recent ZIKV infection compared to only 3.3% in the 30 controls involved. All patients were Melanesian, had facial diplegia and similar neurophysiological pattern consistent with acute inflammatory demyelinating polyneuropathy, and recovered well. Furthermore, during the peak of ZIKV transmission, we observed a number of GBS cases higher than the calculated upper limit, emphasizing the fact that ZIKV is now a major trigger of GBS.

Keywords: Case control study; Guillain-Barré syndrome; New Caledonia; Zika virus.

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[1] Biomed Res Int. 2015;2015:678084 - PubMed

[2] Biomed Res Int. 2015;2015:678084 - PubMed

[3] Emerg Infect Dis. 2014 Jun;20(6):1085-6 - PubMed

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[10] MMWR Morb Mortal Wkly Rep. 2016 Sep 02;65(34):910-4 - PubMed

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Zika virus outbreak in New Caledonia and Guillain-Barré syndrome: a case-control study

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Zika virus outbreak in New Caledonia and Guillain-Barré syndrome: a case-control study

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