Author:
ProCite
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Reference Manager
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-
1.
Shahrizaila N, Lehmann HC, Kuwabara S, 2021. Guillain-Barré syndrome. Lancet 397: 1214–1228.
-
2.
Leonhard SE et al., 2019. Diagnosis and management of Guillain-Barré syndrome in ten steps. Nat Rev Neurol 15: 671–683.
-
3.
van Doorn PA et al., 2023. European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome. Eur J Neurol 30: 3646–3674.
-
4.
Vyravanathan S, Senanayake N, 1983. Guillain-Barré syndrome associated with tuberculosis. Postgrad Med J 59: 516–517.
-
5.
Ramarao T, By V, Bhaskar M, 1983. Guillain–Barré syndrome in pulmonary tuberculosis. Ind J Tub 30: 118–120.
-
6.
Soehardy Z, Yuhanisa A, Thein SS, Rohana AG, Fauzi AR, Norlinah MI, Hamidon BB, Rozaidi SW, 2005. AMSAN variant of Guillain Barre syndrome progressing to chronic inflammatory demyelinating polyneuropathy in a patient with Marfan’s syndrome and pulmonary tuberculosis. Med J Malaysia 60: 655–656.
-
7.
Fernández-Fúnez A, Gómez-Garrido J, Alamillo A, Sáez L, 2007. Demyelinating polyneuropathy as the onset form of lymph node tuberculosis. Paradoxical response in an immunocompetent patient. Med Clin (Barc) 129: 78–79.
-
8.
Chong VH, Joseph TP, Telisinghe PU, Jalihal A, 2007. Chronic inflammatory demyelinating polyneuropathy associated with intestinal tuberculosis. J Microbiol Immunol Infect 40: 377–380.
-
9.
de la Torre RG, Morís G, Martínez DP, Montes IC, 2010. Guillain-Barré syndrome, tuberculosis and inflammatory bowel disease: A multiple association. Int Arch Med 3: 15.
-
10.
Kotti D AH, Bouhawel W, Kahloul O, Slim L, Tritar F, 2011. Pulmonary tuberculosis with polyneuro-radiculopathy: Not forget Guillain Barré syndrome! Eur Respir J 38: 2586.
-
11.
Taha AA, Tee KH, 2012. Guillain-Barré syndrome associated with pulmonary tuberculosis. BMJ Case Rep 2012: bcr0120125484.
-
12.
Suleiman N, Eledrisi M, 2013. Guillain-Barre syndrome associated with pulmonary tuberculosis. J Med Cases 4: 696–698.
-
13.
Rekha MC, Prakash G, 2014. Guillain-Barré syndrome due to pulmonary tuberculosis. Indian. J Fundamental Appl Life Sci 4: 408–410.
-
14.
Chandra S, Momi H, 2014. Guillain-Barré syndrome with pulmonary tuberculosis in a child. J Pediatr Neurol 12: 91–93.
-
15.
Canham EM, Iseman MD, 2014. Guillain-Barré syndrome related to pulmonary tuberculosis. Ann Am Thorac Soc 11: 855–857.
-
16.
Vergnon-Miszczycha D, Suy F, Robert F, Carricajo A, Fresard A, Cazorla C, Guglielminotti C, Lucht F, Botelho-Nevers E, 2015. Guillain-Barré syndrome associated with Mycobacterium bovis lymphadenitis. Infection 43: 603–608.
-
17.
Wang L, Peng X, Wan X-F, 2016. A case of pulmonary tuberculosis associated with Guillain-Barré syndrome. Chinese J Neuroimmunol Neurol 23: 226–227.
-
18.
Kebede D, Ahmed M, Haile T, Bekele A, Mengistu G, 2016. Guillain-Barré syndrome associated with pulmonary tuberculosis: A case report. Ethiop Med J 55: 139–141.
-
19.
Lakhotia AN, Chouksey D, Jain R, Sodani AK, 2017. Guillain-Barre syndrome following tuberculosis: A rare association. J Neurosci Rural Pract 8: 296–299.
-
20.
Mohta S, Soneja M, Vyas S, Khot W, 2017. Tuberculosis and Guillain-Barre syndrome: A chance association? Intractable Rare Dis Res 6: 55–57.
-
21.
Webb K, Venkatesan P, 2018. Guillain Barré syndrome associated with bladder instillation of Bacille Calmette Guérin (BCG). JMM Case Rep 5: e005164.
-
22.
Malakar S, Sharma TD, Raina S, Sharma KN, Kapoor D, 2019. Guillain Barre syndrome with pulmonary tuberculosis: A case series from a tertiary care hospital. J Family Med Prim Care 8: 1794–1797.
-
23.
Dalai SP, Kabi S, Arve NR, Kakollu VR, 2019. Tubercular meningitis with acute inflammatory demyelinating polyneuropathy-trigger or chance. J Neurosci Rural Pract 10: 545–547.
-
24.
Nishanth D, Rahul K, Ashok K, Sanjay C, 2020. Tuberculous meningitis: An unlikely cause of Guillain-Barre syndrome. Indian J Tuberc 67: 139–142.
-
25.
Park JY, Jung HJ, Bae H, Han J-H, Kang MJ, 2020. Miller Fisher syndrome in a patient with pulmonary tuberculosis.Ann Clin Neurophysiol 22: 117–120.
-
26.
Singh A, Balasubramanian V, Gupta N, 2020. The association of Guillain-Barré syndrome with pulmonary tuberculosis: Chance or causal? Neurol India 68: 209–218.
-
27.
Savin AA, Bugun AV, Tsomaeva EB, Sergeeva SP, Sirotinskaya AY, Savin LA, Khomenko NZ, 2023. Guillain-Bare syndrome in a patient with tuberculous. Zh Nevrol Psikhiatr Im S S Korsakova 123: 129–133.
-
28.
Porey C, Jaiswal BK, 2023. A precipitant less appreciated: A glance at cases of tuberculosis manifesting with Guillain Barre syndrome. Indian J Clin Med 13: 43–52.
-
29.
Li X, Chen G, Tang X-Q, Yu H-L, Ming Y-Y, 2023. A case report of postoperative Guillain-Barré syndrome following lumbar spine tuberculosis. Chinese J Mod Surg 27: 168–170.
-
30.
Tatikonda CM, Juvvadi KR, Panda S, Mishra SB, Dash A, 2023. Miller Fisher variant of Guillain-Barre syndrome secondary to pulmonary tuberculosis: A case report with review of literature.J Neuroanaesth Crit Care 10: 128–131.
-
31.
van den Berg B, Bunschoten C, van Doorn PA, Jacobs BC, 2013. Mortality in Guillain-Barre syndrome. Neurology 80: 1650–1654.
-
32.
Peiris JB, Wickremasinghe HR, Chandrasekara MA, 1974. Letter: Tuberculous polyradiculitis. Br Med J 4: 107.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 20960 | 20960 | 9579 |
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Comorbid Guillain-Barré Syndrome and Tuberculosis: A Case Study and Global Perspective
Gui-Hua Yang
Gui-Hua Yang
Department of Infectious Diseases, Sanming First Hospital Affiliated with Fujian Medical University, Sanming, China;
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Tu-Er Wan
Tu-Er Wan
Department of Radiology, Sanming First Hospital Affiliated with Fujian Medical University, Sanming, China
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Hui-Ping Song
Hui-Ping Song
Department of Infectious Diseases, Sanming First Hospital Affiliated with Fujian Medical University, Sanming, China;
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Hui-Wen Song
shw120@fjmu.edu.cn
Hui-Wen Song
Department of Infectious Diseases, Sanming First Hospital Affiliated with Fujian Medical University, Sanming, China;
Search for other papers by Hui-Wen Song in
Current site
Google Scholar
PubMed
Search for other papers by Hui-Wen Song in
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ABSTRACT.
A 27-year-old man presented with a cough and progressive limb weakness. Initially diagnosed with pulmonary tuberculosis, he showed improvement in his cough after antituberculosis treatment (ATT). However, he subsequently developed worsening weakness and numbness in his lower limbs, leading to mobility loss and difficulty swallowing. A comprehensive diagnostic evaluation, including computed tomography of the lung, cranial magnetic resonance imaging, cerebrospinal fluid analysis, and electromyography, confirmed concurrent diagnoses of tuberculosis (TB) and Guillain-Barré syndrome (GBS). Treatment included immunoglobulin and corticosteroid therapy; however, his symptoms persisted, progressing to respiratory failure that required endotracheal intubation and plasma exchange therapy. After these interventions, his condition gradually improved, and he continued ATT, achieving a favorable recovery. A literature review identified 15 countries reporting cases of GBS associated with TB, with the highest incidence in India. Although most cases showed a positive prognosis, mortality rates were elevated in patients with comorbid TB and GBS compared to those with GBS alone.
Author Notes
Disclosures: Written informed consent was obtained from our patient to publish this case report and its accompanying images. A copy of the written consent form is available for review upon request.
Authors’ contributions: This research was conducted and improved by H.-W. Song. G.-H. Yang and T.-E. Wan were responsible for the literature search and drafting the manuscript. H.-P. Song and G.-H. Yang collected the clinical data. T.-E. Wan designed the schematic illustration and interpreted the CT results. All contributors reviewed and consented to the final version of the manuscript.
Current contact information: Gui-Hua Yang, Hui-Ping Song, and Hui-Wen Song, Department of Infectious Diseases, Sanming First Hospital Affiliated with Fujian Medical University, Sanming, China, E-mails: 13385096337@163.com, hp_song03@sina.com, and shw120@fjmu.edu.cn. Tu-Er Wan, Department of Radiology, Sanming First Hospital Affiliated with Fujian Medical University, Sanming, China, E-mail: wan1311004029@sina.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Shahrizaila N, Lehmann HC, Kuwabara S, 2021. Guillain-Barré syndrome. Lancet 397: 1214–1228.
-
2.
Leonhard SE et al., 2019. Diagnosis and management of Guillain-Barré syndrome in ten steps. Nat Rev Neurol 15: 671–683.
-
3.
van Doorn PA et al., 2023. European Academy of Neurology/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain-Barré syndrome. Eur J Neurol 30: 3646–3674.
-
4.
Vyravanathan S, Senanayake N, 1983. Guillain-Barré syndrome associated with tuberculosis. Postgrad Med J 59: 516–517.
-
5.
Ramarao T, By V, Bhaskar M, 1983. Guillain–Barré syndrome in pulmonary tuberculosis. Ind J Tub 30: 118–120.
-
6.
Soehardy Z, Yuhanisa A, Thein SS, Rohana AG, Fauzi AR, Norlinah MI, Hamidon BB, Rozaidi SW, 2005. AMSAN variant of Guillain Barre syndrome progressing to chronic inflammatory demyelinating polyneuropathy in a patient with Marfan’s syndrome and pulmonary tuberculosis. Med J Malaysia 60: 655–656.
-
7.
Fernández-Fúnez A, Gómez-Garrido J, Alamillo A, Sáez L, 2007. Demyelinating polyneuropathy as the onset form of lymph node tuberculosis. Paradoxical response in an immunocompetent patient. Med Clin (Barc) 129: 78–79.
-
8.
Chong VH, Joseph TP, Telisinghe PU, Jalihal A, 2007. Chronic inflammatory demyelinating polyneuropathy associated with intestinal tuberculosis. J Microbiol Immunol Infect 40: 377–380.
-
9.
de la Torre RG, Morís G, Martínez DP, Montes IC, 2010. Guillain-Barré syndrome, tuberculosis and inflammatory bowel disease: A multiple association. Int Arch Med 3: 15.
-
10.
Kotti D AH, Bouhawel W, Kahloul O, Slim L, Tritar F, 2011. Pulmonary tuberculosis with polyneuro-radiculopathy: Not forget Guillain Barré syndrome! Eur Respir J 38: 2586.
-
11.
Taha AA, Tee KH, 2012. Guillain-Barré syndrome associated with pulmonary tuberculosis. BMJ Case Rep 2012: bcr0120125484.
-
12.
Suleiman N, Eledrisi M, 2013. Guillain-Barre syndrome associated with pulmonary tuberculosis. J Med Cases 4: 696–698.
-
13.
Rekha MC, Prakash G, 2014. Guillain-Barré syndrome due to pulmonary tuberculosis. Indian. J Fundamental Appl Life Sci 4: 408–410.
-
14.
Chandra S, Momi H, 2014. Guillain-Barré syndrome with pulmonary tuberculosis in a child. J Pediatr Neurol 12: 91–93.
-
15.
Canham EM, Iseman MD, 2014. Guillain-Barré syndrome related to pulmonary tuberculosis. Ann Am Thorac Soc 11: 855–857.
-
16.
Vergnon-Miszczycha D, Suy F, Robert F, Carricajo A, Fresard A, Cazorla C, Guglielminotti C, Lucht F, Botelho-Nevers E, 2015. Guillain-Barré syndrome associated with Mycobacterium bovis lymphadenitis. Infection 43: 603–608.
-
17.
Wang L, Peng X, Wan X-F, 2016. A case of pulmonary tuberculosis associated with Guillain-Barré syndrome. Chinese J Neuroimmunol Neurol 23: 226–227.
-
18.
Kebede D, Ahmed M, Haile T, Bekele A, Mengistu G, 2016. Guillain-Barré syndrome associated with pulmonary tuberculosis: A case report. Ethiop Med J 55: 139–141.
-
19.
Lakhotia AN, Chouksey D, Jain R, Sodani AK, 2017. Guillain-Barre syndrome following tuberculosis: A rare association. J Neurosci Rural Pract 8: 296–299.
-
20.
Mohta S, Soneja M, Vyas S, Khot W, 2017. Tuberculosis and Guillain-Barre syndrome: A chance association? Intractable Rare Dis Res 6: 55–57.
-
21.
Webb K, Venkatesan P, 2018. Guillain Barré syndrome associated with bladder instillation of Bacille Calmette Guérin (BCG). JMM Case Rep 5: e005164.
-
22.
Malakar S, Sharma TD, Raina S, Sharma KN, Kapoor D, 2019. Guillain Barre syndrome with pulmonary tuberculosis: A case series from a tertiary care hospital. J Family Med Prim Care 8: 1794–1797.
-
23.
Dalai SP, Kabi S, Arve NR, Kakollu VR, 2019. Tubercular meningitis with acute inflammatory demyelinating polyneuropathy-trigger or chance. J Neurosci Rural Pract 10: 545–547.
-
24.
Nishanth D, Rahul K, Ashok K, Sanjay C, 2020. Tuberculous meningitis: An unlikely cause of Guillain-Barre syndrome. Indian J Tuberc 67: 139–142.
-
25.
Park JY, Jung HJ, Bae H, Han J-H, Kang MJ, 2020. Miller Fisher syndrome in a patient with pulmonary tuberculosis.Ann Clin Neurophysiol 22: 117–120.
-
26.
Singh A, Balasubramanian V, Gupta N, 2020. The association of Guillain-Barré syndrome with pulmonary tuberculosis: Chance or causal? Neurol India 68: 209–218.
-
27.
Savin AA, Bugun AV, Tsomaeva EB, Sergeeva SP, Sirotinskaya AY, Savin LA, Khomenko NZ, 2023. Guillain-Bare syndrome in a patient with tuberculous. Zh Nevrol Psikhiatr Im S S Korsakova 123: 129–133.
-
28.
Porey C, Jaiswal BK, 2023. A precipitant less appreciated: A glance at cases of tuberculosis manifesting with Guillain Barre syndrome. Indian J Clin Med 13: 43–52.
-
29.
Li X, Chen G, Tang X-Q, Yu H-L, Ming Y-Y, 2023. A case report of postoperative Guillain-Barré syndrome following lumbar spine tuberculosis. Chinese J Mod Surg 27: 168–170.
-
30.
Tatikonda CM, Juvvadi KR, Panda S, Mishra SB, Dash A, 2023. Miller Fisher variant of Guillain-Barre syndrome secondary to pulmonary tuberculosis: A case report with review of literature.J Neuroanaesth Crit Care 10: 128–131.
-
31.
van den Berg B, Bunschoten C, van Doorn PA, Jacobs BC, 2013. Mortality in Guillain-Barre syndrome. Neurology 80: 1650–1654.
-
32.
Peiris JB, Wickremasinghe HR, Chandrasekara MA, 1974. Letter: Tuberculous polyradiculitis. Br Med J 4: 107.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 20960 | 20960 | 9579 |
| Full Text Views | 62 | 62 | 19 |
| PDF Downloads | 22 | 22 | 13 |