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Letter to the Editor| Volume 396, P84-85, January 15, 2019

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Concurrent Guillain-Barré syndrome, transverse myelitis and encephalitis post-Zika: A case report and review of the pathogenic role of multiple arboviral immunity

Published:November 05, 2018DOI:https://doi.org/10.1016/j.jns.2018.10.032
Concurrent Guillain-Barré syndrome, transverse myelitis and encephalitis post-Zika: A case report and review of the pathogenic role of multiple arboviral immunity
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      We thank Yasri and Wiwanitkit for their comments on our review article of Zika virus (ZIKV) neurotropism [
      • Mancera-Páez O.
      • Román G.C.
      • Pardo-Turriago R.
      • Rodríguez Y.
      • Anaya J.M.
      Concurrent Guillain-Barré syndrome, transverse myelitis and encephalitis post-Zika: a case report and review of the pathogenic role of multiple arboviral immunity.
      J. Neurol. Sci. 2018; 395: 47-53https://doi.org/10.1016/j.jns.2018.09.028
      ,
      • Mancera-Páez O.
      • Román G.C.
      • Pardo-Turriago R.
      • Rodríguez Y.
      • Anaya J.M.
      Erratum to ‘Concurrent Guillain-Barré syndrome, transverse myelitis and encephalitis post-Zika: a case report and review of the pathogenic role of multiple arboviral immunity’.
      J. Neurol. Sci. 2018; 395: 47-53https://doi.org/10.1016/j.jns.2018.10.021
      ]. They indicate that in their geographic region in South East Asia (Thailand) —a ZIKV endemic area— the concurrent immunoreactivity to ZIKV and other arboviruses is very common, particularly with dengue virus (DENV) and Chikungunya virus (CHIKV) [
      • Suwanmanee S.
      • Surasombatpattana P.
      • Soonthornworasiri N.
      • Hamel R.
      • Maneekan P.
      • Missé D.
      • Luplertlop N.
      Monitoring arbovirus in Thailand: surveillance of dengue, chikungunya and zika virus, with a focus on coinfections.
      Acta Trop. 2018; 188: 244-250https://doi.org/10.1016/j.actatropica.2018.09.012
      ], but there are no reports of neurological complications resulting from co-reactivity between ZIKV and other arboviruses.
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      Article info

      Publication history

      Published online: November 05, 2018
      Accepted: October 31, 2018
      Received: October 30, 2018

      Identification

      DOI: https://doi.org/10.1016/j.jns.2018.10.032

      Copyright

      © 2018 Published by Elsevier B.V.

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