Parsonage-turner syndrome due to acute hepatitis E infection


Hameed Rehman

University of Sharjah, UK

: J Virol Antivir Res

Abstract


We report a case of a 59 year old male, with no past medical history and foreign travel, who presented with a 1 week history of left arm weakness and numbness followed by an inability to contract his left biceps for duration of 48 hours. These symptoms occurred after eating Pork Ribs at a local restaurant 2 weeks ago. On presentation, he has jaundice and his liver function tests demonstrated a hepatitis-like picture and had positive hepatitis E. His diagnosis was brachial neuritis secondary to acute hepatitis E infection. Viral hepatitis E infection has been reported in 10% of patients with brachial neuritis. According to the most recent case report article published in April 2017 in the Journal of NeuroVirology, Only 9 such cases have been reported in the UK. We therefore possibly report the 10th case of hepatitis E associated with brachial neuritis in the UK in a non-immunocompromised patient without any past medical history. This case again reminds us to consider hepatitis E infection in a patient presenting with neurological signs and deranged liver function tests.

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