Guillain-Barre Syndrome Secondary to COVID-19: A case report and short review of other published cases

GBS COVID-19

Authors

  • Mukaish Kumar MBBS University of Missouri, Columbia, Missouri, United States
  • Biswajit Banik MD University of Missouri, Columbia, Missouri, United States
  • Raghav Govindarajan MD University of Missouri, Columbia, Missouri, United States

DOI:

https://doi.org/10.17161/rrnmf.v3i1.15770

Keywords:

COVID-19, Guillain Barré Syndrome, Acute inflammatory demyelinating polyradiculopathy, Anosmia.

Abstract

Background:

COVID-19 related Guillain-Barré syndrome has a broad spectrum of presentation. In most reported cases, respiratory symptoms preceded by neurological deficits by one to two weeks, suggesting that the clinical course is mostly post-infectious. In this case report, we present a para-infectious case of GBS with COVID-19.

Case presentation:

A 37-year-old male patient presented with fever, chills, myalgia, cough, and anosmia. COVID-19 test came positive. He was managed conservatively. On the 7th day of follow-up, he recovered except for a persistent loss of smell and taste. Two weeks after his initial presentation, he reported low back pain and bilateral lower extremity weakness and had a repeat COVID-19 test, which returned positive. His history, physical exam, CSF analysis, nerve conduction, and electromyography test revealed Guillain-Barre Syndrome. We managed GBS with supportive treatment in the hospital, and on follow-up of three months, he recovered fully.

Conclusion:

In our case, we report a para-infectious case of GBS with C0VID-19, and we managed this case without intravenous immunoglobulin or plasmapheresis. The decision to treat a COVID-19 related GBS case with a traditional GBS treatment option (intravenous immunoglobulin or plasmapheresis) should be taken in conjunction with co-morbidities and a tailored case of case basis.

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Published

2022-03-11

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Section

Clinic and Case Reports

How to Cite

Kumar, M., Banik, B., & Govindarajan, R. (2022). Guillain-Barre Syndrome Secondary to COVID-19: A case report and short review of other published cases: GBS COVID-19. RRNMF Neuromuscular Journal, 3(1), 71-79. https://doi.org/10.17161/rrnmf.v3i1.15770