Guillain Barré syndrome in association with Brucellosis

Authors

  • Raúl Montalvo Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico Residente en Infectología.
  • Yuri García Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Marcos Ñavincopa Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Eduardo Ticona Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • Gonzalo Chávez Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo.
  • David A. Moore Wellcome Trust Centre for Clinical Tropical Medicine, Imperial College London. London, England. Médico infectólogo. Médico epidemiólogo.

DOI:

https://doi.org/10.17843/rpmesp.2010.272.1478

Keywords:

Guillain-Barre Syndrome, Brucella, Peripheral nervous system diseases

Abstract

We describe a case of a 47 years old male, with a history of 2 days of progressive, ascendant, symmetrical weakness in the lower extremities; a lumbar puncture was performed after the brain CT scan, as well as an electromyography, evidencing pure motor polyradiculopathy with axonal pattern, compatible with Guillain Barre syndrome. Afterwards, he received four plasmapheresis sessions, with clinical improvement from the second session. Due to his epidemiological background, Brucella set testing was done. Rose Bengal was positive, antibiotic treatment with rifampin and doxicicline was initiated, as well as rehabilitation. Three months later the patient recovered completely. The relevance of early treatment with plasmapheresis and the definition of the etiologic diagnosis determine that the prognosis of the Guillain Barre syndrome is favorable.

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Published

2010-06-25

Issue

Section

Case Report

How to Cite

1.
Montalvo R, García Y, Ñavincopa M, Ticona E, Chávez G, Moore DA. Guillain Barré syndrome in association with Brucellosis. Rev Peru Med Exp Salud Publica [Internet]. 2010 Jun. 25 [cited 2024 Jun. 23];27(2). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1478

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