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Inicio Neurología (English Edition) Incidence of Guillain–Barré syndrome during Zika virus outbreak
Journal Information
Vol. 35. Issue 2.
Pages 126 (March 2020)
Vol. 35. Issue 2.
Pages 126 (March 2020)
Letter to the Editor
DOI: 10.1016/j.nrleng.2017.10.001
Open Access
Incidence of Guillain–Barré syndrome during Zika virus outbreak
Incidencia del síndrome de Guillain-Barré durante el brote del virus Zika
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B. Jooba,
Corresponding author
beuyjoob@otmail.com

Corresponding author.
, V. Wiwanitkitb,c
a Sanitation 1 Medical Academic Center, Bangkok, Thailand
b Hainan Medical University, Hainan Sheng, China
c Dr DY Patil University, Navi Mumbai, India
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Dear Editor:

We read with great interest the article “Incidence of Guillain–Barré syndrome (GBS) at a secondary centre during the 2016 Zika outbreak.”1 Del Cario Orantes et al. conclude that “cases of Guillain–Barré syndrome increased during the Zika outbreak, with increases in incidence and the number of cases per month; however, no direct causal relationship could be established between these 2 conditions.”1 We would like to share some ideas and experiences on this subject. Firstly, the increased incidence of GBS may or may not be related to Zika virus infection. Several possible concurrent problems, such as other infections or vaccination during the study period, may give rise to increased incidence. In our setting in tropical Asia, where Zika virus is also endemic, increased incidence of GBS has not been observed.2 Most cases of Zika virus infection in our setting are asymptomatic and present no complications.3 Considering that Zika virus infection may be asymptomatic, the exact calculation of GBS incidence is difficult, and diagnosis of Zika virus infection related to GBS is problematic in any situation.4

References
[1]
L. Del Carpio Orantes, F.J. Juárez Rangel, S. García-Méndez.
Incidence of Guillain–Barré syndrome at a secondary centre during the 2016 zika outbreak.
Neurologia, 25 (2017),
[2]
V. Wiwanitkit.
The current status of Zika virus in Southeast Asia.
Epidemiol Health, 38 (2016), pp. e2016026
[3]
S. Wiwanitkit, V. Wiwanitkit.
Afebrile, asymptomatic and non-thrombocytopenic Zika virus infection: Don’t miss it!.
Asian Pac J Trop Med, 9 (2016), pp. 513
[4]
V. Wiwanitkit.
Guillain–Barré syndrome and Zika virus infection.
Arq Neuropsiquiatr, 74 (2016), pp. 692

Please cite this article as: Joob B, Wiwanitkit V. Incidencia del síndrome de Guillain-Barré durante el brote del virus Zika. Neurología. 2020;35:126.

Copyright © 2017. Sociedad Española de Neurología
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