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Delayed recognition of Guillain-Barre syndrome in a child: a misleading respiratory distress

Galetto, Annick
Published in Journal of Emergency Medicine. 2010, vol. 38, no. 5, p. e59-61
Abstract BACKGROUND: Guillain-Barre 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.
Keywords ChildDelayed DiagnosisFemaleGuillain-Barre Syndrome/*complications/*diagnosisHumansPneumonia, Mycoplasma/*complications/radiographyRespiratory Insufficiency/etiology
PMID: 18922663
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Research groups Etiologie des pneumonies et marqueurs inflammatoires chez l'enfant fébrile (183)
Groupe Menache Starobinski Caroline (881)
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LACROIX, Laurence Elisabeth et al. Delayed recognition of Guillain-Barre syndrome in a child: a misleading respiratory distress. In: The Journal of Emergency Medicine, 2010, vol. 38, n° 5, p. e59-61. https://archive-ouverte.unige.ch/unige:19134

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Deposited on : 2012-03-27

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