A case of miller fisher syndrome associated with preceding herpes zoster ophthalmicus

Rizzo, Angelo Cascio; Ulivi, Martina; Brunelli, Nicoletta; Pepe, Alessio; Assenza, Giovanni; Florio, Lucía; Lazzaro, Vincenzo Di

doi:10.1002/mus.25487

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…Our case report is the fourth in the literature presenting VZV as the antecedent factor in Miller Fisher syndrome and the second one in a pediatric patient. 6 -8…”

Section: Discussionmentioning

confidence: 99%

“…This is one of the few cases in the literature showing VZV infection as the triggering factor of Miller Fisher syndrome and the first one reporting VZV breakthrough infection as the triggering factor. 6 -8…”

Section: Case Reportmentioning

confidence: 99%

“…Varicella zoster virus, which causes chickenpox and herpes zoster, is one of the 8 herpes viruses known to infect humans. 49 Rizzo et al 6 presented the case of a 78-year-old man with Miller Fisher syndrome who had right ophthalmic zoster treated with acyclovir 20 days prior to his neurologic symptoms. Serologic tests showed strongly positive anti-VZV IgG antibodies.…”

Section: Miller Fisher Syndrome and Infectious Etiological Factorsmentioning

confidence: 99%

“…The authors hypothesized that VZV reactivation prompted an autoimmune reaction against gangliosides expressed in the oculomotor nerves. 6 Takano et al 7 described the case of a 7-year-old boy with vesicular skin eruptions who developed neurologic signs and IgG anti-GQ1b antibodies titer elevation correlating with Miller Fisher syndrome. Complement fixation tests showed elevated serum anti-VZV antibody titer during the course of the disease.…”

Section: Miller Fisher Syndrome and Infectious Etiological Factorsmentioning

confidence: 99%

“…Campylobacter jejuni and Haemophilus influenzae have been reported as the most common antecedent agents followed by Streptococcus pyogenes , Staphylococcus aureus , Mycoplasma pneumoniae , Coxiella burnetii , Cytomegalovirus (CMV), Ebstein-Barr virus (EBV), Varicella-Zoster virus (VZV) and mumps virus. 4 -8 Here, we report a case of Miller Fisher syndrome following a breakthrough VZV infection in an otherwise healthy 6-year-old child. A literature review was also conducted in PubMed for articles on preceding infections triggering Miller Fisher syndrome.…”

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confidence: 92%

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Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

et al. 2021

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Aim: We reported a case of Miller Fisher syndrome following a breakthrough varicella zoster virus infection in an otherwise healthy 6-year-old male. The objective of this review was to summarize the infectious etiologic agents known to trigger Miller Fisher syndrome. Methods: Review of the literature on infections associated with Miller Fisher syndrome. Results: We identified 762 studies after duplicates were removed. Titles, abstracts, and full texts were screened. Finally, 37 studies were included in qualitative synthesis after citations and reference list were checked. The age range of cases reported was 0-78 years, and male sex was predominant in studies where these parameters were reported. The most common causative agent was Campylobacter jejuni followed by Haemophilus influenzae. Conclusions: Our review highlights the importance of recognizing the infections triggering Miller Fisher syndrome. We also present a unique case of Miller Fisher syndrome associated with breakthrough varicella zoster virus infection. Preventive policies may consider population immunization for certain causative agents.

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“…Our case report is the fourth in the literature presenting VZV as the antecedent factor in Miller Fisher syndrome and the second one in a pediatric patient. 6 -8…”

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Miller Fisher Syndrome and Infectious Etiological Factorsmentioning

confidence: 99%

Section: Miller Fisher Syndrome and Infectious Etiological Factorsmentioning

confidence: 99%

mentioning

confidence: 92%

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Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

et al. 2021

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Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

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Miller–Fisher syndrome after first dose of Oxford/AstraZeneca coronavirus disease 2019 vaccine: a case report

et al. 2022

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Introduction Miller-Fisher Syndrome (MFS) is a variant of Guillain–Barré syndrome (GBS), an acute immune-mediated neuropathy, which manifests as a rapidly evolving areflex motor paralysis. This syndrome presents as a classic triad: ophthalmoplegia, areflexia, and ataxia. MFS is usually benign and self-limited. Case report A Caucasian patient was admitted to our hospital with the flu, loss of bilateral strength in the lower limbs and upper limbs and sudden-onset ataxia 7 days after receiving a first dose of the Oxford/AstraZeneca COVID-19 vaccine. On neurological examination, the patient had Glasgow Coma Scale score of 15, with absence of meningeal signs; negative Babinski sign; grade 2 strength in the lower limbs and grade 4 strength in the upper limbs; axial and appendicular cerebellar ataxia; and peripheral facial diparesis predominantly on the right, without conjugate gaze deviation. Cerebrospinal fluid (CSF) was collected on admission, and analysis revealed albuminocytological dissociation with CSF protein of 148.9 mg/dL; leukocytes, 1; chlorine, 122; glucose, 65 mg/mL; red cells, 2; and non-reactive venereal disease research laboratory test result. The COVID-19 IgG/IgM rapid immunological test was negative. Electroneuromyography revealed a recent moderate-grade and primarily sensory and motor demyelinating polyneuropathy with associated proximal motor block. Discussion and conclusion Miller-Fisher Syndrome may be related to events other than infections prior to neuropathy, as in the case reported here. The patient presented strong correlations with findings for MFS reported in the literature, such as the clinical condition, the results of electroneuromyography, and results of the CSF analysis typical for MFS. When treatment was provided as proposed in the literature, the disease evolved with improvement. Ultimately, the diagnosis of incomplete MFS was made, including acute ataxic neuropathy (without ophthalmoplegia).

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A case of miller fisher syndrome associated with preceding herpes zoster ophthalmicus

Cited by 6 publications

References 5 publications

Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

Miller Fisher Syndrome Triggered by Infections: A Review of the Literature and a Case Report

Miller–Fisher syndrome after first dose of Oxford/AstraZeneca coronavirus disease 2019 vaccine: a case report

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