The Journal of emergency medicine · 2008
Delayed recognition of Guillain-Barré syndrome in a child: a misleading respiratory distress.
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Lacroix Laurence E, Galetto Annick, Haenggeli Charles A, Gervaix Alain
Аннотация
BACKGROUND: Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis in childhood. Respiratory symptoms can mask neurologic signs, leading to a delay in diagnosis.
OBJECTIVES: We report this case to highlight the diagnostic difficulty in children suffering from GBS who have respiratory involvement as the main clinical findings on presentation.
CASE REPORT: This case report describes a 9-year-old girl presenting with respiratory distress, weakness, limb pain, and hypertension. The severe respiratory involvement due to a Mycoplasma pneumoniae lung infection led to a delay in diagnosing GBS in this child.
CONCLUSION: Unexplained weakness, together with respiratory involvement and associated dysautonomia, should support the possibility of GBS.
OBJECTIVES: We report this case to highlight the diagnostic difficulty in children suffering from GBS who have respiratory involvement as the main clinical findings on presentation.
CASE REPORT: This case report describes a 9-year-old girl presenting with respiratory distress, weakness, limb pain, and hypertension. The severe respiratory involvement due to a Mycoplasma pneumoniae lung infection led to a delay in diagnosing GBS in this child.
CONCLUSION: Unexplained weakness, together with respiratory involvement and associated dysautonomia, should support the possibility of GBS.