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Research involving human or animal participants This article does not contain any studies with human participants or animals performed by any of the authors. Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Izenman AJ Modern multivariate statistical techniques: regression, classification, and manifold learning, 1st edn.
Todeschini R, Consonni V Molecular descriptors for chemoinformatics, 2nd edn. Sneath PHA Relations between chemical structure and biological activity in peptides.
Acta Chim Sin — Google Scholar Abdi H, Williams L Principal component analysis overview. Hotelling H Analysis of a complex of statistical variables into principal components. Alterman M, Hunziker P Amino acid analysis: methods and protocols, methods in molecular biology, th edn.
Zaikin V, Halket J Derivatization in mass spectroscopy: soft ionization mass spectrometry of small molecules. Alkyl halides, alcochols, phenols, thiols and amines.
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The user can check the device drivers from the list of drivers. Rivera, C. Major, D. Matos, J. Lack of evidence of Zika virus in nervous tissue suggests that pathophysiology was antibody mediated without neurotropism.
GBS is typically triggered by an acute infection and, less frequently, by vaccination 1. GBS has been associated with infection by Zika virus, a flavivirus transmitted primarily by Aedes species mosquitoes 2 , and countries have reported increased GBS incidence during Zika virus outbreaks 3 — 5.
Reports suggest Zika virus may result in a hyperacute immune response or have a direct viral neuropathic effect contributing to GBS 6. Further, case reports and series have noted higher rates of cranial neuropathy, such as facial palsy and paresthesia, among GBS patients with evidence of Zika virus infection, suggesting that the cranial nerves may be targeted by either virus or antibody 3 , 6 — 9.
Postmortem investigations of GBS are rare, but results may indicate underlying pathophysiologic mechanisms. During a Zika virus epidemic in Puerto Rico in February , an islandwide surveillance system was implemented to identify GBS cases and provide Zika virus diagnostic testing 9.
Fatal GBS cases could be reported, and postmortem investigations were incorporated into an established fatal case surveillance system Such investigations were implemented to clarify the pathophysiology of GBS patients with Zika virus infection. The Study Figure 1 Figure 1.
Timeline of key events surrounding the illness of a patient with GBS and confirmed Zika virus infection, Puerto Rico, In August , a year-old man living in the San Juan metropolitan area with a medical history of hypertension for which he was taking amlodipine , diabetes, asthma, and prostate cancer visited a hospital emergency department with a 4-day history of worsening paresthesia of the lower and upper extremities and progressive bilateral lower and upper extremity weakness Figure 1.
Computed tomography without contrast of the head found no acute intracranial or other abnormalities.
The patient was given albuterol nebulizer treatment, ipratropium bromide, and ceftriaxone and discharged home on the same day. Three days later, the patient returned to the emergency department with worsened weakness.
He was admitted to the intensive care unit with respiratory distress and was intubated. Hospital staff suspected GBS due to monophasic illness progression, symmetric weakness, and loss of deep tendon reflexes.
On day 7 after onset of neurologic illness, the patient had acute kidney injury and hyperuricemia.