Guillain-Barré Syndrome in Patient With SARS-CoV-2 PCR Positivity Treated Successfully With Therapeutic Exchange Plasma: A First Case Report From Vietnam

Since the first case of Guillain-Barré syndrome (GBS)-associated SARS-CoV-2 (COVID-19) infection reported in 2020, a series of cases have been published in some countries. In this case report, we present a young patient with GBS, whose clinical and laboratory data were appropriate for the diagnosis...

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Published in:Frontiers in neurology 2022-05, Vol.13, p.868667
Main Authors: Duong-Quy, Sy, Huynh-Truong-Anh, Duc, Nguyen-Thi-Kim, Thanh, Nguyen-Quang, Tien, Nguyen-Chi, Thanh, Tran-Xuan, Quynh, Nguyen-Nhu, Vinh, Ngo, Carine, Craig, Timothy
Format: Article
Language:English
Subjects:
COVID-19
Guillain-Barré syndrome
MRC scale
Neurology
SARS-CoV-2
therapeutic plasma exchange
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Summary:Since the first case of Guillain-Barré syndrome (GBS)-associated SARS-CoV-2 (COVID-19) infection reported in 2020, a series of cases have been published in some countries. In this case report, we present a young patient with GBS, whose clinical and laboratory data were appropriate for the diagnosis of GBS due to COVID-19 infection. Neurological examination revealed the muscular weakness of lower limbs with Medical Research Council (MRC) scale of 2/5 associated with diminished reflexes. Laboratory studies showed the positive nasal swab RT-PCR test for COVID-19, leukopenia, increased ferritin and LDH levels, normal electrolyte and liver and kidney function, and normal chest X-ray. The result of cerebrospinal fluid showed the albuminocytologic dissociation. The patient was treated with remdesivir, dexamethasone, anticoagulation, and therapeutic plasma exchange (TPE). Patient's muscle weakness was significantly improved after 1 week of admission. He was discharged at 23rd days of hospitalization and followed-up in the out-patients department.
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2022.868667