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Guillain-Barré syndrome in a patient previously diagnosed with COVID-19
Alexandria C Defabio1, Thomas R Scott1, Robert T Stenberg1
1Cleveland Clinic Akron General, Department of Emergency Medicine, Akron, OH, United States of America; Northeast Ohio Medical University, Rootstown, OH, United States of America.
Insights
Guillain-Barre Syndrome (GBS) is a rare neurological disorder. This case study documents the first female patient in the US with GBS following COVID-19 infection, highlighting a rare complication.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- The COVID-19 pandemic has prompted investigation into its diverse clinical manifestations and complications.
- Guillain-Barre Syndrome (GBS) is a rare, immune-mediated peripheral neuropathy, often triggered by infections.
- Previous outbreaks, like Zika, demonstrated increased GBS incidence, suggesting a potential link with novel viral infections.
Abstract:
As the COVID-19 pandemic continues to progress, the medical community is rapidly trying to identify complications and patterns of disease to improve patient outcomes. In a recent systematic review, it has been reported that isolated cases of Guillain-Barre Syndrome (GBS) have occurred secondary to COVID-19 infection. GBS is defined as a rare, but potentially fatal, immune mediated disease of peripheral nerves and nerve roots that is usually triggered by infections. The incidence of GBS can therefore increase during outbreaks of infectious diseases, as was seen during the Zika virus epidemics in 2013 in French Polynesia and 2015 in Latin America. While several cases of GBS secondary to COVID-19 infection have been reported in Italy, only one case has been reported in the United States (US). The reported case in the US was a 54- year old male. We present a case of GBS secondary to a COVID-19 infection and believe this to be the first documented female case in the US and the second documented case in the US overall. The presented case aims to supplement the existing body of knowledge and to assist clinicians in managing complications of COVID-19.
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