Table 1. Demographic and Clinical Characteristics of Acute Neurologic Illness Among Patients With Confirmed Guillain-Barré Syndrome With vs Without Evidence of Zika Virus Infection, Puerto Rico, 2016.
Variable | With Evidence of Zika Virus Infection (n = 71) |
Without Evidence of Zika Virus Infection (n = 36) |
P Value |
---|---|---|---|
Age, y | |||
Median (range) | 55 (21-88) | 49 (4-83) | .25 |
Sex, No. (%) | |||
Female | 37 (52.1) | 10 (27.8) | .02 |
Brighton Collaboration Criteria level, No. (%) | |||
1 | 15 (21.1) | 6 (16.7) | .75 |
2 | 42 (59.2) | 24 (66.7) | |
3 | 14 (19.7) | 6 (16.7) | |
Duration, median (range), d | |||
Antecedent illness to neurologic illness onset | 7 (0-21) | 7 (0-15) | .90 |
Neurologic illness onset to clinical nadir | 7 (2-27) | 9 (1-28) | .23 |
Neurologic illness onset to lumbar puncture | 9 (1-92) | 8 (1-34) | .65 |
Hospitalization | 12 (4-94) | 10 (2-90) | .40 |
Antecedent illness, No. (%) | |||
Acute antecedent illness | 57 (80.3) | 26 (72.2) | .33 |
Rash | 36 (50.7) | 3 (8.3) | <.001 |
Fever | 28 (39.4) | 13 (36.1) | .74 |
Muscle pain | 13 (18.3) | 5 (13.9) | .56 |
Arthralgia | 13 (18.3) | 1 (2.8) | .03 |
Conjunctivitis | 10 (14.1) | 1 (2.8) | .09 |
Diarrhea | 9 (12.7) | 8 (22.2) | .20 |
Chills | 7 (9.9) | 3 (8.3) | >.99 |
Coughing | 3 (4.2) | 6 (16.7) | .06 |
Rhinorrhea | 0 | 5 (13.9) | .004 |
Signs and symptoms of neurologic illness, No. (%) | |||
Hyporeflexia or areflexia | 71 (100) | 36 (100) | NA |
Leg weakness | 68 (95.8) | 36 (100) | .55 |
Leg parethesia | 56 (78.9) | 25 (69.4) | .28 |
Arm weakness | 52 (73.2) | 21 (58.3) | .12 |
Facial weakness | 44 (62.0) | 10 (27.8) | <.001 |
Arm paresthesia | 39 (54.9) | 16 (44.4) | .31 |
Dysphagia | 38 (53.5) | 9 (25.0) | .005 |
Shortness of breath | 33 (46.5) | 9 (25.0) | .03 |
Dysarthria | 27 (38.0) | 9 (25.0) | .18 |
Gait ataxia | 23 (32.4) | 13 (36.1) | .70 |
Dysautonomia | 13 (18.3) | 7 (19.4) | .89 |
Facial paresthesia | 13 (18.3) | 1 (2.8) | .03 |
Medical complications, No./Total No. (%)a | |||
Tracheostomy | 6/38 (15.8) | 1/24 (4.2) | .23 |
Sepsis | 5/38 (13.2) | 1/24 (4.2) | .39 |
Gastrostomy | 5/38 (13.2) | 0/24 | .15 |
Pneumonia | 4/38 (10.5) | 2/24 (8.3) | >.99 |
Shock | 1/38 (2.6) | 1/24 (4.2) | >.99 |
CSF analysis, No./Total No. (%)b | |||
WBC count <50 cells/μLc | 52/52 (100) | 28/30 (93.3) | .13 |
Protein ≥45 mg/dL | 49/52 (94.2) | 23/32 (71.9) | .008 |
Cytoalbuminologic dissociationc | 49/52 (94.2) | 19/30 (63.3) | <.001 |
Electrophysiologic findings, No./Total No. (%)d | |||
AIDP subtype | 16/19 (84.2) | 6/14 (42.9) | .06 |
Acute motor axonal neuropathy subtype | 2/19 (10.5) | 3/14 (21.4) | |
Acute motor-sensory axonal neuropathy subtype | 1/19 (5.3) | 2/14 (14.3) | |
Abnormal findings possibly associated with GBS | 0/19 | 1/14 (7.1) | |
Normal study results | 0/19 | 2/14 (14.3) | |
Medical interventions, No. (%) | |||
Admitted to hospital | 71 (100) | 36 (100) | NA |
Treated with intravenous IgG | 69 (97.2) | 32 (88.9) | .18 |
Admitted to intensive care unit | 47 (66.2) | 16 (44.4) | .03 |
Required mechanical ventilation | 22 (31.0) | 4 (11.1) | .02 |
Disability at clinical nadir, median (range) | |||
Modified Rankin Scale score | 5 (2-6) | 5 (3-6) | .39 |
Hughes Disability Score | 4 (1-6) | 4 (2-6) | .09 |
Clinical outcome, No. (%) | |||
Discharged home | 32 (45.1) | 22 (61.1) | .12 |
Transferred to rehabilitation center or skilled nursing facility | 35 (49.3) | 11 (30.6) | |
Persistent comatose state >12 mo | 2 (2.8) | 0 | |
Died in hospital | 2 (2.8) | 3 (8.3) |
Abbreviations: AIDP, acute inflammatory demyelinating polyneuropathy; CSF, cerebrospinal fluid; GBS, Guillain-Barré syndrome; NA, not applicable; WBC, white blood cell.
Does not include 33 cases with and 12 cases without evidence of Zika virus infection for which data on complications were not collected.
Does not include 19 cases with and 4 cases without evidence of ZIKV infection for which CSF analysis was not performed.
Does not include 2 cases without evidence of ZIKV infection for which no WBC results from CSF analysis were available.
Does not include 52 cases with and 22 cases without evidence of Zika virus infection for which electrodiagnostic study was not performed or study results were not available.