Reworsening of Recurrent Guillain-Barré Syndrome Triggered by COVID-19 Infection

Vita, Gian Luca; Terranova, Carmen; Sframeli, Maria; Toscano, Antonio; Vita, Giuseppe

Reworsening of Recurrent Guillain-Barré Syndrome Triggered by COVID-19 Infection

Gian Luca Vita¹, Carmen Terranova², Maria Sframeli¹, Antonio Toscano², Giuseppe Vita^{1, 2, *}

¹ Nemo Sud Clinical Centre for Neuromuscular Disorders, Messina, Italy

² European Reference Network for Rare Neuromuscular Diseases (ERN EURO-NMD), Unit of Neurology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy

Article Information

Identifiers and Pagination:

Year: 2021
Volume: 15
First Page: 48
Last Page: 51
Publisher ID: TONEUJ-15-48
DOI: 10.2174/1874205X02115010048

Article History:

Received Date: 7/4/2021
Revision Received Date: 07/7/2021
Acceptance Date: 26/7/2021
Electronic publication date: 10/11/2021
Collection year: 2021

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© 2021 Vita et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

^* Address correspondence to this author at the UOC di Neurologia e Malattie Neuromuscolari, AOU Policlinico “G. Martino,” 98125 Messina, Italy;
Tel: +39 090 2212793; E-mail: vitag@unime.it

Introduction:

Guillain-Barré Syndrome (GBS) is an acute, immune-mediated, generalized polyradiculoneuropathy often triggered by a bacterial or viral infection, vaccination, or surgery. During the SARS-CoV-2 pandemic, some patients were reported with GBS associated COVID-19 infection.

Case Presentation:

We report, herein, a patient who had a recurrent GBS after forty years. Intravenous immunoglobulins (IVIg) induced improvement, but her condition worsened suddenly after twenty days, coinciding with a COVID-19 infection. A second IVIg cycle was administered, and she improved again.

Conclusion:

The take-home message is that in the current pandemic, any re-worsening or lack of improvement after appropriate treatment of GBS or possibly other autoimmune neurological diseases must be checked to determine if it is related to COVID-19 infection.

Keywords: COVID-19, SARS-CoV-2, Guillain-Barré syndrome, Recurrence, Intravenous immunoglobulins, Pandemic.

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CASE REPORT

Reworsening of Recurrent Guillain-Barré Syndrome Triggered by COVID-19 Infection

Article Information

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Abstract

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