Guillain-Barré Syndrome associated with bacterial gastroenteritis:
case report
DOI:
https://doi.org/10.34024/rnc.2018.v26.9859Keywords:
Guillain-Barré Syndrome; Gastroenteritis; PlasmapheresisAbstract
Objective. The objective of the study is to report a case of Guillain-Barré Syndrome (GBS). Method. A male patient, 20 years old, admitted to emergency room with mucopurulent diarrhea, rapidly progressed with altered sensitivity of lower limbs. Results. Over the course of 5 days, paraesthesia progressed to upper limbs and trunk, in addition to loss of strength (grade 2) and dysphasia. Therefore, empiric treatment with Plasmapheresis was initiated, with good therapeutic response. Conclusion. From the complementary exams and clinical history of the report, we conclude that it is a case of GBS with classic evolution, however, triggered after bacterial infection in the gastrointestinal tract.
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References
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2.Honavar M, Tharakan KJ, Hughes RAC. A clinicopathological study of the Guillain-Barré syndrome: nine cases and literature review. Brain 1991;114:1245-69. https://doi.org/10.1093/brain/114.3.1245
3.Schwerer B. Antibodies against gangliosides: a link between preceding infection and immunopathogenesis of Guillain-Barré syndrome. Microbes Infect 2002;4:373-84.
https://doi.org/10.1016/S1286-4579(02)01550-2
4.Dourado J, Teixeira ME. Síndrome de Guillain-Barré: epidemiologia, prognóstico e fatores de risco (Tese). Natal: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, 2015, 90p.
5.Dirlikov E, Major CG, Medina NA, Lugo-Robles R, Matos D, Muñoz-Jordan JL, et al. Clinical Features of Guillain-Barré Syndrome With vs Without Zika Virus Infection, Puerto Rico, 2016. JAMA Neurol 2018;75:1089-97. https://doi.org/10.1001/jamaneurol.2018.1058
6.Orsini M, Mello MP, Reis JPB, Antonioli RS, Santo VV, Freitas MRG. Síndrome de Guillain-Barré na infância: relato de caso. Rev Neurocienc 2007;15:329-33.
7.Fonseca T, Cardoso T, Perdigão S, Sarmento A, Morgado R, Costa M. Síndrome de Guillain-Barré. Acta Med Port 2004;17:119-22.
8.Hughs RA, Cornblath DR. Guillain-Barré Syndrome. Lancet 2005;366(9497):1653-66. https://doi.org/10,1016/S0140-6736(05)67665.9
9.Willison HJ, Jacobs BC, Doorn PA. Guillain-Barré Syndrome. Lancet 2016;388:717-27. https://doi.org/10.1016/S0140-6736(16)00330-1
10.Jasti K, Selmi A, Sarmiento-Monroy C, Vega JCA, Anaya D, Gershwin JME. Guillain-Barré syndrome: causes, immunopathogenic mechanisms and treatment. Exp Rev Clin Immunol 2016;12:6-13.
11.Orsini M, Freitas MRG, Nascimento OJM, Catharino AMS, Mello MP, Reis CHM, et al. Síndrome de Guillain-Barré pós-infecção por dengue: Relato de Caso. Rev Neurocienc 2010;18:24-7.
12.Lamônica DAC, Pereira TC, Silva KR, Lopes AC. Relato de caso: Síndrome de Guillain-Barré - atraso do desenvolvimento da linguagem. Rev Med 2009;88:199-202.
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Published
2018-10-09
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Relato de Caso
How to Cite
1.
Pereira Barbalho A, Barbosa Brandão L, Marques Rechuan M, Barreto Lysandro MC, Feital Montezzi N, Tavares Lima Trajano E, et al. Guillain-Barré Syndrome associated with bacterial gastroenteritis: : case report. Rev Neurocienc [Internet]. 2018 Oct. 9 [cited 2025 Dec. 18];26:1-10. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/9859
