{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:34:51Z","timestamp":1790973291467,"version":"4.1.0"},"reference-count":38,"publisher":"American Medical Association (AMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Neurol"],"published-print":{"date-parts":[[2018,9,1]]},"DOI":"10.1001\/jamaneurol.2018.1058","type":"journal-article","created":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T16:30:56Z","timestamp":1526920256000},"page":"1089","source":"Crossref","is-referenced-by-count":66,"title":["Clinical Features of Guillain-Barr\u00e9 Syndrome With vs Without Zika Virus Infection, Puerto Rico, 2016"],"prefix":"10.1001","volume":"75","author":[{"given":"Emilio","family":"Dirlikov","sequence":"first","affiliation":[{"name":"Office of Epidemiology and Research, Puerto Rico Department of Health, San Juan"},{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea G.","family":"Major","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"},{"name":"Office for State, Tribal, Local, and Territorial Support, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole A.","family":"Medina","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Lugo-Robles","sequence":"additional","affiliation":[{"name":"Office of Epidemiology and Research, Puerto Rico Department of Health, San Juan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desiree","family":"Matos","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge L.","family":"Mu\u00f1oz-Jordan","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candimar","family":"Colon-Sanchez","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Garcia","sequence":"additional","affiliation":[{"name":"Biological and Chemical Emergencies Laboratory, Office of Public Health Preparedness and Response, Puerto Rico Department of Health, San Juan"},{"name":"Public Health Laboratory, Puerto Rico Department of Health, San Juan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marangely","family":"Olivero-Segarra","sequence":"additional","affiliation":[{"name":"Biological and Chemical Emergencies Laboratory, Office of Public Health Preparedness and Response, Puerto Rico Department of Health, San Juan"},{"name":"Public Health Laboratory, Puerto Rico Department of Health, San Juan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graciela","family":"Malave","sequence":"additional","affiliation":[{"name":"Biological and Chemical Emergencies Laboratory, Office of Public Health Preparedness and Response, Puerto Rico Department of Health, San Juan"},{"name":"Public Health Laboratory, Puerto Rico Department of Health, San Juan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria M.","family":"Rodr\u00edguez-Vega","sequence":"additional","affiliation":[{"name":"Hospital Interamericano de Medicina Avanzada\u2013San Pablo, Caguas, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana L.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Division of State and Local Readiness, Office of Public Health Preparedness and Response, US Centers for Disease Control and Prevention, Atlanta, Georgia"},{"name":"Commissioned Corps of the US Public Health Service, Rockville, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen H.","family":"Waterman","sequence":"additional","affiliation":[{"name":"Office of Epidemiology and Research, Puerto Rico Department of Health, San Juan"},{"name":"Commissioned Corps of the US Public Health Service, Rockville, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J.","family":"Sejvar","sequence":"additional","affiliation":[{"name":"Division of High Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos A.","family":"Luciano","sequence":"additional","affiliation":[{"name":"Neurology Section, University of Puerto Rico School of Medicine, San Juan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler M.","family":"Sharp","sequence":"additional","affiliation":[{"name":"Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia"},{"name":"Commissioned Corps of the US Public Health Service, Rockville, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Rivera-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Office of Epidemiology and Research, Puerto Rico Department of Health, San Juan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"10045","key":"noi180029r1","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1016\/S0140-6736(16)00339-1","article-title":"Guillain-Barr\u00e9 syndrome.","volume":"388","author":"Willison","year":"2016","journal-title":"Lancet"},{"issue":"21","key":"noi180029r2","doi-asserted-by":"publisher","first-page":"1374","DOI":"10.1056\/NEJM199511233332102","article-title":"Campylobacter jejuni infection and Guillain-Barr\u00e9 syndrome.","volume":"333","author":"Rees","year":"1995","journal-title":"N Engl J Med"},{"issue":"2","key":"noi180029r3","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1159\/000184748","article-title":"The epidemiology of Guillain-Barr\u00e9 syndrome worldwide: a systematic literature review.","volume":"32","author":"McGrogan","year":"2009","journal-title":"Neuroepidemiology"},{"issue":"3","key":"noi180029r4","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1097\/00003246-199303000-00023","article-title":"Intensive management and treatment of severe Guillain-Barr\u00e9 syndrome.","volume":"21","author":"Hund","year":"1993","journal-title":"Crit Care Med"},{"key":"noi180029r5","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/j.jns.2017.04.006","article-title":"Incidence and clinical characteristics of Guillain-Barr\u00e9 syndrome before the introduction of Zika virus in Puerto Rico.","volume":"377","author":"Salinas","year":"2017","journal-title":"J Neurol Sci"},{"issue":"10027","key":"noi180029r6","doi-asserted-by":"publisher","first-page":"1531","DOI":"10.1016\/S0140-6736(16)00562-6","article-title":"Guillain-Barr\u00e9 syndrome outbreak associated with Zika virus infection in French Polynesia: a case-control study.","volume":"387","author":"Cao-Lormeau","year":"2016","journal-title":"Lancet"},{"issue":"16","key":"noi180029r7","doi-asserted-by":"publisher","first-page":"1513","DOI":"10.1056\/NEJMoa1605564","article-title":"Guillain-Barr\u00e9 syndrome associated with Zika virus infection in Colombia.","volume":"375","author":"Parra","year":"2016","journal-title":"N Engl J Med"},{"issue":"15","key":"noi180029r8","doi-asserted-by":"publisher","first-page":"1498","DOI":"10.1001\/jama.2017.11483","article-title":"Acute Zika virus infection as a risk factor for Guillain-Barr\u00e9 syndrome in Puerto Rico.","volume":"318","author":"Dirlikov","year":"2017","journal-title":"JAMA"},{"key":"noi180029r9","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.jcrc.2016.08.016","article-title":"Guillain-Barr\u00e9 syndrome in patients with a recent history of Zika in C\u00facuta, Colombia: a descriptive case series of 19 patients from December 2015 to March 2016.","volume":"37","author":"Arias","year":"2017","journal-title":"J Crit Care"},{"issue":"3","key":"noi180029r10","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1136\/jnnp-2016-314310","article-title":"Zika virus infection and Guillain-Barr\u00e9 syndrome: a review focused on clinical and electrophysiological subtypes.","volume":"88","author":"Uncini","year":"2017","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"1","key":"noi180029r11","doi-asserted-by":"publisher","first-page":"114","DOI":"10.3201\/eid2401.171331","article-title":"Postmortem findings in patient with Guillain-Barr\u00e9 syndrome and Zika virus infection.","volume":"24","author":"Dirlikov","year":"2018","journal-title":"Emerg Infect Dis"},{"issue":"6","key":"noi180029r12","doi-asserted-by":"publisher","first-page":"154","DOI":"10.15585\/mmwr.mm6506e2","article-title":"Local transmission of Zika virus: Puerto Rico, November 23, 2015\u2013January 28, 2016.","volume":"65","author":"Thomas","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"34","key":"noi180029r13","doi-asserted-by":"publisher","first-page":"910","DOI":"10.15585\/mmwr.mm6534e1","article-title":"Guillain-Barr\u00e9 syndrome during ongoing Zika virus transmission: Puerto Rico, January 1\u2013July 31, 2016.","volume":"65","author":"Dirlikov","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"noi180029r14","article-title":"Implementation and evaluation of Guillain-Barr\u00e9 syndrome surveillance in Puerto Rico during the 2016 Zika virus epidemic.","author":"Major","journal-title":"P R Health Sci J"},{"issue":"8","key":"noi180029r17","doi-asserted-by":"publisher","first-page":"1232","DOI":"10.3201\/eid1408.080287","article-title":"Genetic and serologic properties of Zika virus associated with an epidemic, Yap State, Micronesia, 2007.","volume":"14","author":"Lanciotti","year":"2008","journal-title":"Emerg Infect Dis"},{"issue":"5","key":"noi180029r19","doi-asserted-by":"crossref","first-page":"1823","DOI":"10.1128\/JCM.38.5.1823-1826.2000","article-title":"Standardization of immunoglobulin M capture enzyme-linked immunosorbent assays for routine diagnosis of arboviral infections.","volume":"38","author":"Martin","year":"2000","journal-title":"J Clin Microbiol"},{"issue":"3","key":"noi180029r20","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.vaccine.2010.06.003","article-title":"Guillain-Barr\u00e9 syndrome and Fisher syndrome: case definitions and guidelines for collection, analysis, and presentation of immunization safety data.","volume":"29","author":"Sejvar","year":"2011","journal-title":"Vaccine"},{"issue":"12","key":"noi180029r21","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.1161\/01.STR.19.12.1497","article-title":"Recovery of motor function after stroke.","volume":"19","author":"Bonita","year":"1988","journal-title":"Stroke"},{"issue":"8093","key":"noi180029r22","doi-asserted-by":"publisher","first-page":"750","DOI":"10.1016\/S0140-6736(78)92644-2","article-title":"Controlled trial prednisolone in acute polyneuropathy.","volume":"2","author":"Hughes","year":"1978","journal-title":"Lancet"},{"issue":"5","key":"noi180029r23","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1136\/jnnp.72.5.596","article-title":"Clinimetric evaluation of a new overall disability scale in immune mediated polyneuropathies.","volume":"72","author":"Merkies","year":"2002","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"12","key":"noi180029r24","doi-asserted-by":"publisher","first-page":"1288","DOI":"10.1093\/ptj\/76.12.1288","article-title":"The Facial Disability Index: reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system.","volume":"76","author":"VanSwearingen","year":"1996","journal-title":"Phys Ther"},{"issue":"16","key":"noi180029r26","doi-asserted-by":"publisher","first-page":"1598","DOI":"10.1056\/NEJMc1609015","article-title":"Zika virus and the Guillain-Barr\u00e9 syndrome: case series from seven countries.","volume":"375","author":"Dos Santos","year":"2016","journal-title":"N Engl J Med"},{"issue":"1","key":"noi180029r27","doi-asserted-by":"publisher","first-page":"134","DOI":"10.3201\/eid2301.161290","article-title":"Guillain-Barr\u00e9 syndrome and healthcare needs during Zika virus transmission, Puerto Rico, 2016.","volume":"23","author":"Dirlikov","year":"2017","journal-title":"Emerg Infect Dis"},{"issue":"44","key":"noi180029r28","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.15585\/mmwr.mm6544a4","article-title":"Incidence of Zika virus disease by age and sex: Puerto Rico, November 1, 2015\u2013October 20, 2016.","volume":"65","author":"Lozier","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"noi180029r29","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.ijid.2016.08.023","article-title":"Higher incidence of Zika in adult women than adult men in Rio de Janeiro suggests a significant contribution of sexual transmission from men to women.","volume":"51","author":"Coelho","year":"2016","journal-title":"Int J Infect Dis"},{"issue":"24","key":"noi180029r30","doi-asserted-by":"publisher","first-page":"2536","DOI":"10.1056\/NEJMoa0805715","article-title":"Zika virus outbreak on Yap Island, Federated States of Micronesia.","volume":"360","author":"Duffy","year":"2009","journal-title":"N Engl J Med"},{"key":"noi180029r31","article-title":"Differences in prevalence of symptomatic Zika virus infection by age and sex: Puerto Rico, 2016 [published online December 6, 2017].","author":"Lozier","journal-title":"J Infect Dis"},{"issue":"5","key":"noi180029r32","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.4269\/ajtmh.17-0106","article-title":"Guillain-Barr\u00e9 syndrome, acute disseminated encephalomyelitis and encephalitis associated with Zika virus infection in Brazil: detection of viral RNA and isolation of virus during late infection.","volume":"97","author":"Brito Ferreira","year":"2017","journal-title":"Am J Trop Med Hyg"},{"key":"noi180029r33","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMoa1613108","article-title":"Persistence of Zika virus in body fluids: preliminary report.","author":"Paz-Bailey","year":"2017","journal-title":"N Engl J Med"},{"issue":"16","key":"noi180029r34","doi-asserted-by":"publisher","first-page":"1552","DOI":"10.1056\/NEJMra1602113","article-title":"Zika virus.","volume":"374","author":"Petersen","year":"2016","journal-title":"N Engl J Med"},{"key":"noi180029r35","doi-asserted-by":"publisher","first-page":"S897","DOI":"10.1093\/infdis\/jix511","article-title":"Neurological implications of Zika virus infection in adults.","volume":"216","author":"Mu\u00f1oz","year":"2017","journal-title":"J Infect Dis"},{"key":"noi180029r36","doi-asserted-by":"publisher","first-page":"233","DOI":"10.3389\/fneur.2016.00233","article-title":"Zika virus infection and Guillain-Barr\u00e9 syndrome in three patients from Suriname.","volume":"7","author":"Langerak","year":"2016","journal-title":"Front Neurol"},{"issue":"3","key":"noi180029r37","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1212\/WNL.0000000000002759","article-title":"Zika virus\u2013associated Guillain-Barr\u00e9 syndrome variant in Haiti.","volume":"87","author":"Kassavetis","year":"2016","journal-title":"Neurology"},{"issue":"30","key":"noi180029r38","doi-asserted-by":"publisher","first-page":"774","DOI":"10.15585\/mmwr.mm6530e1","article-title":"Update: ongoing Zika virus transmission: Puerto Rico, November 1, 2015\u2013July 7, 2016.","volume":"65","author":"Adams","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"noi180029r15","unstructured":"Puerto Rico Department of Health. Administrative Order 358. 2016. http:\/\/www.salud.gov.pr\/Sobre-tu-Salud\/Documents\/OA%20358%20-%20PARA%20ENMENDAR%20LA%20OA%20302.pdf. Accessed July 12, 2017."},{"key":"noi180029r16","unstructured":"U.S. Food and Drug Administration. Emergency use authorizations: Zika virus emergency use authorization. https:\/\/www.fda.gov\/MedicalDevices\/Safety\/EmergencySituations\/ucm161496.htm. Accessed July 12, 2017."},{"key":"noi180029r18","unstructured":"InBios International Inc. Anti\u2013dengue virus immunoglobulin M (IgM) antibody-capture (MAC) enzyme-linked immunosorbent assay (ELISA). http:\/\/www.inbios.com\/denvdetecttm-igm-elisa-kit-usa\/. Accessed July 12, 2017."},{"key":"noi180029r25","unstructured":"United States Census Bureau. Puerto Rico Commonwealth Population Totals Tables: 2010-2016. 2017. https:\/\/www.census.gov\/data\/tables\/2016\/demo\/popest\/total-puerto-rico.html. Accessed June 14, 2017."}],"container-title":["JAMA Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamaneurology\/fullarticle\/2680895","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T06:36:00Z","timestamp":1604298960000},"score":1,"resource":{"primary":{"URL":"http:\/\/archneur.jamanetwork.com\/article.aspx?doi=10.1001\/jamaneurol.2018.1058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,1]]},"references-count":38,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018,9,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamaneurol.2018.1058","relation":{},"ISSN":["2168-6149"],"issn-type":[{"value":"2168-6149","type":"print"}],"subject":[],"published":{"date-parts":[[2018,9,1]]}}}