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Miller Fisher syndrome associated with COVID-19: an up-to-date systematic review
Environmental Science and Pollution Research Pub Date : 2021-03-06 , DOI: 10.1007/s11356-021-13233-w
Zheng Li 1 , Xingye Li 2 , Jianxiong Shen 1 , Matthew T V Chan 3 , William Ka Kei Wu 3, 4
Affiliation  

Recently, during the pandemic infection of the novel SARS-CoV-2, some cases of Miller Fisher syndrome (MFS) have been reported. We want to summarize the main features of patients with MFS and COVID-19. A PubMed search was performed on 8 October to identify references reporting cases with MFS associated with COVID-19 from the first report of COVID-19 to 8 October 2020 using the following keywords: “Miller Fisher syndrome” AND “COVID-19” OR “SARS-CoV-2”. A systematic review from the first report of coronavirus disease 2019 (COVID-19) to 8 October 2020 revealed 7 cases with Miller Fisher syndrome (MFS) associated with COVID-19. The 7 cases came from 5 countries but most of these patients were from Europe (85.7%), especially Spain. There are 5 cases of MFS diagnosed after the laboratory confirmation of SARS-CoV-2 infection. The mean onset time of MFS-associated neurological symptoms was 14.75 days after the diagnosis of COVID-19. However, the two remaining cases presented initially with MFS-associated neurological symptoms followed by the diagnosis of COVID-19. The most common symptoms of COVID-19-associated MFS were perioral paresthesias (57.1%), ataxia (57.1%), blurred vision (42.9), ophthalmoplegia (42.9), and generalized areflexia (42.9). However, more cohort and case-control studies are required to establish the epidemiological linkage.



中文翻译:


与 COVID-19 相关的米勒·费希尔综合征:最新系统评价



最近,在新型SARS-CoV-2大流行感染期间,报告了一些米勒·费希尔综合征(MFS)病例。我们想要总结 MFS 和 COVID-19 患者的主要特征。 10 月 8 日进行了 PubMed 检索,以使用以下关键词识别报告与 COVID-19 相关的 MFS 病例的参考文献,从第一份 COVID-19 报告到 2020 年 10 月 8 日:“米勒·费希尔综合征”和“COVID-19”或“ SARS-CoV-2”。从第一份 2019 年冠状病毒病 (COVID-19) 报告到 2020 年 10 月 8 日的系统回顾显示,有 7 例与 COVID-19 相关的米勒·费希尔综合征 (MFS) 病例。这7例病例来自5个国家,但大多数患者来自欧洲(85.7%),尤其是西班牙。实验室确诊 SARS-CoV-2 感染后,诊断出 5 例 MFS。 MFS 相关神经系统症状的平均发作时间为诊断出 COVID-19 后的 14.75 天。然而,其余两例最初出现与 MFS 相关的神经系统症状,随后被诊断为 COVID-19。 COVID-19相关MFS最常见的症状是口周感觉异常(57.1%)、共济失调(57.1%)、视力模糊(42.9)、眼肌麻痹(42.9)和全身反射消失(42.9)。然而,需要更多的队列和病例对照研究来确定流行病学联系。

更新日期:2021-03-07
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