Journal List > Infect Chemother > v.42(6) > 1035051

Ko, Kim, Lim, Park, Tae, Ryu, and Choi: A Case of Guillain-Barré Syndrome Following Plasmodium vivax infection

Abstract

A 28-year-old male was admitted to our medical center with general myalgia and fever. After a series of tests, he was diagnosed with P. vivax malaria. On the 5th hospital day, the patient complained of tingling sensation on both hands and feet, which acutely progressed to ascending symmetric motor paralysis. Nerve conduction velocity test and cerebrospinal fluid analysis showed albumino-cytologic dissociation, suggesting polyradiculopathy, and thus he was diagnosed with Guillain-Barré syndrome. After 5-day treatment with intravenous immunoglobulin, and antificial ventilator therapy the patient fully recovered. In the literature, only 22 cases of Guillain-Barré syndrome associated with Plasmodium have been reported; 19 cases were caused by Plasmodium falciparum and 3 were by P. vivax. Herein, we report the first case of Guillain-Barré Syndrome associated with P. vivax malaria in Korea.

Figures and Tables

Figure 1
Result of motor nerve conduction velocity. Right median nerve shows delayed latency (12.4 ms), low amplitude (0.1 mV), and slow velocity (37 m/sec). Left tibial nerve shows delayed latency (0.1 ms), low amplitude (0.9 mV), and slow velocity (28 m/sec).
ic-42-424-g001

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