Increase in cases of Guillain-Barré syndrome during a Chikungunya outbreak, French Polynesia, 2014 to 2015

Erwan Oehler; Emmanuel Fournier; Isabelle Leparc-Goffart; Philippe Larre; Stéphanie Cubizolle; Chantal Sookhareea; Stéphane Lastère; Frédéric Ghawche

doi:10.2807/1560-7917.ES.2015.20.48.30079

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Increase in cases of Guillain-Barré syndrome during a Chikungunya outbreak, French Polynesia, 2014 to 2015
Erwan Oehler¹ , Emmanuel Fournier² , Isabelle Leparc-Goffart³ , Philippe Larre⁴ , Stéphanie Cubizolle⁴ , Chantal Sookhareea⁴ , Stéphane Lastère⁵ , Frédéric Ghawche⁴
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Affiliations: ¹ Internal Medicine Department, French Polynesia Tertiary Hospital, Tahiti, French Polynesia ² Clinical Neurophysiology Department, Pitié Salpétrière, APHP, Paris, France ³ French National Reference Centre for Arboviruses, IRBA, Marseille, France ⁴ Neurology Department, French Polynesia Tertiary Hospital, Tahiti, French Polynesia ⁵ Clinical Virology Laboratory, French Polynesia Tertiary Hospital, Tahiti, French Polynesia

Correspondence:
Erwan Oehler
erwan.oehler cht.pf
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Citation style for this article: Oehler Erwan, Fournier Emmanuel, Leparc-Goffart Isabelle, Larre Philippe, Cubizolle Stéphanie, Sookhareea Chantal, Lastère Stéphane, Ghawche Frédéric. Increase in cases of Guillain-Barré syndrome during a Chikungunya outbreak, French Polynesia, 2014 to 2015. Euro Surveill. 2015;20(48):pii=30079. https://doi.org/10.2807/1560-7917.ES.2015.20.48.30079 Received: 24 Nov 2015; Accepted: 03 Dec 2015

Abstract

During the recent chikungunya fever outbreak in French Polynesia in October 2014 to March 2015, we observed an abnormally high number of patients with neurological deficit. Clinical presentation and complementary exams were suggestive of Guillain–Barré syndrome (GBS) for nine patients. All nine had a recent dengue-like syndrome and tested positive for chikungunya virus (CHIKV) in serology or RT-PCR. GBS incidence was increased four- to nine-fold during this period, suggesting a link to CHIKV infection.

This work is licensed under a Creative Commons Attribution 4.0 International License.

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Increase in cases of Guillain-Barré syndrome during a Chikungunya outbreak, French Polynesia, 2014 to 2015

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