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. 2018 May 21;75(9):1089–1097. doi: 10.1001/jamaneurol.2018.1058

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.

a

Does not include 33 cases with and 12 cases without evidence of Zika virus infection for which data on complications were not collected.

b

Does not include 19 cases with and 4 cases without evidence of ZIKV infection for which CSF analysis was not performed.

c

Does not include 2 cases without evidence of ZIKV infection for which no WBC results from CSF analysis were available.

d

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.