01 September 2003
Guillain-Barre syndrome preceded by acute renal failure
Grażyna Zarzycka-Lindner, Grzegorz Meder, Bartłomiej Kałużny, Elżbieta Wanat-Słupska, Jadwiga KorenkiewiczCase Rep Clin Pract Rev 2003; 4(2):117-119 :: ID: 429047
Abstract
Background: Guillain-Barre syndrome (GBS) – acute inflammatory polyneuropathy – occures in all parts of the world and in all seasons. It affects children and adults of all ages and both sexes [1]. GBS is often found in the neurological field [1,2,3], however the syndrome associated with acute renal failure (ARF) is rare [4,5]. We present first to our knowledge case of GBS preceded by acute interstitial nephritis (AIN) – ARF with predominately interstitial inflammation [6]. Case Report: We report a case of 42-year-old man who developed symptoms of Guillain-Barre syndrome (GBS) 5 days after acute renal failure (ARF) occured. 3 weeks prior to admission the patient had suffered from mild respiratory tract infection. 4 days prior to admission lion pain occured and patient had been taking high doses of Saridon (1 tab. contains: 150 mg of Propyphenazone, 250 mg of Paracetamol, 50 mg of Caffeine). Renal biopsy showed acute interstitial nephritis. Although both hemodialyses and plasmaphereses were performed no clinical improvement was observed. Therefore 5 doses of Methylprednisolone every second day were administrated. Gradual but slow regression of both GBS and ARF were noted. 55 days after admission the patient recovered sufficiently to stand and walk without assistance. Conclusions: In reported case both GBS and AIN might been caused by the same unidentified infectious factor. On the other hand, AIN could been related with non-steroid anti-inflammatory drugs, and fact that GBS and AIN occured almost at the same time was a coincidence.
Keywords: acute inflammatory polyneurophaty, acute interstitial nephritis, acute renal failure, Guillain-Barre Syndrome
134
In Press
14 Mar 2024 : Case report
Simultaneous Occurrence of Collagen Type III Glomerulopathy and Immunoglobulin A Nephropathy: A Rare Case R...Am J Case Rep In Press; DOI: 10.12659/AJCR.942770
16 Mar 2024 : Case report
Castleman Disease Presenting in the Neck: A Report of 3 Cases and a Literature ReviewAm J Case Rep In Press; DOI: 10.12659/AJCR.943214
16 Mar 2024 : Case report
Early Diagnosis and Successful Empirical Treatment of L1-L2 Spondylodiscitis in a 21-Month-Old Girl: A Case...Am J Case Rep In Press; DOI: 10.12659/AJCR.943010
16 Mar 2024 : Case report
A Rare Autochthonous Case of Hepatic Hydatid Cyst in the Non-Endemic Region of TaiwanAm J Case Rep In Press; DOI: 10.12659/AJCR.943687
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250