Clinical Application of Phage Immunoprecipitation Sequencing to Diagnose Enterovirus D68 as the Underlying Etiology in a Case of Guillain-Barré Syndrome

Author:

Li Fang Fang1ORCID,Faber Alison23,Caleta Jessica M4,Goldfarb David M156,Sekirov Inna14,Prystajecky Natalie A14,Srigley Jocelyn A156,Mishaal Ram236,Jassem Agatha N14

Affiliation:

1. Department of Pathology and Laboratory Medicine, University of British Columbia , Vancouver, British Columbia , Canada

2. Department of Pediatrics, University of British Columbia , Vancouver, British Columbia , Canada

3. Sunny Hill Health Centre, British Columbia Children's Hospital , Vancouver, British Columbia , Canada

4. Public Health Laboratory, British Columbia Centre for Disease Control , Vancouver, British Columbia , Canada

5. Department of Pathology and Laboratory Medicine, British Columbia Children's and Women's Hospitals , Vancouver, British Columbia , Canada

6. British Columbia Children's Hospital Research Institute, University of British Columbia , Vancouver, British Columbia , Canada

Abstract

Abstract Guillain-Barré syndrome (GBS) is an acute peripheral neuropathy often preceded by respiratory or gastrointestinal infections, though molecular testing of cerebrospinal fluid is often inconclusive. In a recent case of severe pediatric GBS in British Columbia, Canada, we detected cerebrospinal fluid antibodies against enterovirus D to link GBS with prior enterovirus D68 respiratory infection.

Publisher

Oxford University Press (OUP)

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