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[Brucellosis and acute inflammatory polyradiculoneuropathy].

T García, J C Sánchez, J F Maestre

    Neurologia (Barcelona, Spain)
    |May 1, 1989
    PubMed
    Summary

    This study reports on three patients with Guillain-Barré syndrome (GBS) during active brucellosis, identifying both axonal and demyelinating forms. Separating these GBS forms is crucial due to distinct clinical and pathogenetic implications, especially in brucellosis-associated cases.

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    Area of Science:

    • Neurology
    • Infectious Diseases
    • Neuroimmunology

    Background:

    • Brucellosis is a zoonotic infection with diverse neurological complications.
    • Guillain-Barré syndrome (GBS) is an autoimmune disorder affecting peripheral nerves.
    • The association between brucellosis and GBS warrants further investigation into specific GBS subtypes.

    Observation:

    • Three cases of GBS occurring during active brucellosis infection are presented.
    • Clinical presentation, neurophysiological studies, and sural nerve biopsies were analyzed.
    • Patient outcomes varied, with one experiencing an unfavorable course and two a satisfactory recovery.

    Findings:

    • One patient exhibited features consistent with the axonal form of GBS, characterized by nerve degeneration.

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  • Two patients presented with the demyelinating form of GBS, involving nerve sheath damage.
  • Neurophysiological and biopsy findings differentiated between axonal and demyelinating GBS subtypes in the context of brucellosis.

    • Implications:

    • The findings support the separation of axonal and demyelinating GBS forms.
    • Distinct clinical and pathogenetic implications exist for each GBS subtype.
    • Understanding these distinctions is vital for managing GBS associated with brucellosis and GBS generally.