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Miller Fisher Syndrome and Escherichia coli Infection: Is It a Novel Association?

Department of Medicine, Section of Pediatrics, University of Chieti, Chieti, Italy, ablasetti{at}tiscalinet.it

Marina Cerruto, MD

Department of Medicine, Section of Pediatrics, University of Chieti, Chieti, Italy

Rocco Cutarella, MD

Division of Neurology, S. Valentino Hospital, San Valentino, Italy

Annamaria Tocco, MD

Department of Medicine, Section of Pediatrics, University of Chieti, Chieti, Italy

Maria Cristina Caporale, MD

Department of Neurology, University of Chieti, Chieti, Italy

Francesco Chiarelli, MD

Department of Medicine, Section of Pediatrics, University of Chieti, Chieti, Italy

Alberto Verrotti, MD, PhD

Department of Medicine, Section of Pediatrics, University of Chieti, Chieti, Italy

Miller Fisher syndrome is characterized by ataxia, ophthalmoplegia, and reduced or absent tendon reflexes. Generally, it is considered an acute postinfectious paralytic illness caused by a wide variety of infections including Campylobacter jejuni. The authors report the case of a 10-year-old girl with Miller Fisher syndrome who had a previous infection of Escherichia coli. If confirmed by other reports, this report could disclose a new association of Miller Fisher syndrome with E coli infection.

Key Words: Miller Fisher syndrome • Escherichia coli infection • antigangliosides antibodies

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