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A case of brucellosis-induced Guillain–Barre syndrome
BACKGROUND: Guillain–Barre syndrome (GBS) is a rare neurological complication of brucellosis, and neurobrucellosis is the most common, but they have many similarities in clinical manifestations. Many clinicians are accustomed to merely explaining the manifestations of nervous system involvement with...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8781241/ https://www.ncbi.nlm.nih.gov/pubmed/35057735 http://dx.doi.org/10.1186/s12879-021-07025-3 |
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author | Li, Qian Liu, Jianfeng Jiang, Wenhui Jiang, Lisheng Lu, Mengzhi Xiao, Linping Li, Yukun Lan, Yinghua Li, Yongguo |
author_facet | Li, Qian Liu, Jianfeng Jiang, Wenhui Jiang, Lisheng Lu, Mengzhi Xiao, Linping Li, Yukun Lan, Yinghua Li, Yongguo |
author_sort | Li, Qian |
collection | PubMed |
description | BACKGROUND: Guillain–Barre syndrome (GBS) is a rare neurological complication of brucellosis, and neurobrucellosis is the most common, but they have many similarities in clinical manifestations. Many clinicians are accustomed to merely explaining the manifestations of nervous system involvement with neurobrucellosis, but they ignore the possibility of GBS, and this leads to misdiagnosis, untimely treatment, and serious consequences. CASE PRESENTATION: A 55-year-old male patient was admitted to The First Affiliated Hospital of Harbin Medical University for intermittent fever, fatigue, and waist pain more than three months. Brucellosis was diagnosed from the blood test. Although anti-brucella treatment was given at the time of diagnosis, the disease continued to progress. At the time of the cerebrospinal fluid systematic physical examination and the neuroelectrophysiological test, acute motor sensory axonal neuropathy was diagnosed. The patient was given immediately administered immunoglobulin therapy. After three months of systemic treatment, the patient's muscle strength of the distal limbs gradually recovered. The numbness of the limbs eased slowly, and urination function and respiratory function returned to normal. He could sit by himself. CONCLUSIONS: The possibility of GBS should be closely monitored for when a brucellosis patient shows typical clinical manifestations of progressive muscle weakness, protein-cell separation of the cerebral spinal fluid, and typical demyelinating sensorimotor polyneuropathy. |
format | Online Article Text |
id | pubmed-8781241 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-87812412022-01-24 A case of brucellosis-induced Guillain–Barre syndrome Li, Qian Liu, Jianfeng Jiang, Wenhui Jiang, Lisheng Lu, Mengzhi Xiao, Linping Li, Yukun Lan, Yinghua Li, Yongguo BMC Infect Dis Case Report BACKGROUND: Guillain–Barre syndrome (GBS) is a rare neurological complication of brucellosis, and neurobrucellosis is the most common, but they have many similarities in clinical manifestations. Many clinicians are accustomed to merely explaining the manifestations of nervous system involvement with neurobrucellosis, but they ignore the possibility of GBS, and this leads to misdiagnosis, untimely treatment, and serious consequences. CASE PRESENTATION: A 55-year-old male patient was admitted to The First Affiliated Hospital of Harbin Medical University for intermittent fever, fatigue, and waist pain more than three months. Brucellosis was diagnosed from the blood test. Although anti-brucella treatment was given at the time of diagnosis, the disease continued to progress. At the time of the cerebrospinal fluid systematic physical examination and the neuroelectrophysiological test, acute motor sensory axonal neuropathy was diagnosed. The patient was given immediately administered immunoglobulin therapy. After three months of systemic treatment, the patient's muscle strength of the distal limbs gradually recovered. The numbness of the limbs eased slowly, and urination function and respiratory function returned to normal. He could sit by himself. CONCLUSIONS: The possibility of GBS should be closely monitored for when a brucellosis patient shows typical clinical manifestations of progressive muscle weakness, protein-cell separation of the cerebral spinal fluid, and typical demyelinating sensorimotor polyneuropathy. BioMed Central 2022-01-20 /pmc/articles/PMC8781241/ /pubmed/35057735 http://dx.doi.org/10.1186/s12879-021-07025-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Li, Qian Liu, Jianfeng Jiang, Wenhui Jiang, Lisheng Lu, Mengzhi Xiao, Linping Li, Yukun Lan, Yinghua Li, Yongguo A case of brucellosis-induced Guillain–Barre syndrome |
title | A case of brucellosis-induced Guillain–Barre syndrome |
title_full | A case of brucellosis-induced Guillain–Barre syndrome |
title_fullStr | A case of brucellosis-induced Guillain–Barre syndrome |
title_full_unstemmed | A case of brucellosis-induced Guillain–Barre syndrome |
title_short | A case of brucellosis-induced Guillain–Barre syndrome |
title_sort | case of brucellosis-induced guillain–barre syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8781241/ https://www.ncbi.nlm.nih.gov/pubmed/35057735 http://dx.doi.org/10.1186/s12879-021-07025-3 |
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