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    An 23-year-old man presented with weakness in all four limbs one week after being diagnosed with pulmonary tuberculosis. Examinations found reduced power in his limbs and hyporeflexia. Tests showed signs of Guillain-Barré syndrome including albumino-cytological dissociation in cerebrospinal fluid and evidence of axonal neuropathy. He was diagnosed with Guillain-Barré syndrome reasonably associated with his recent tuberculosis diagnosis and improved after treatment with intravenous immunoglobulin.

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    ANEMIA – INFECTION AN UNUSUAL COMBO.docx

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    An 23-year-old man presented with weakness in all four limbs one week after being diagnosed with pulmonary tuberculosis. Examinations found reduced power in his limbs and hyporeflexia. Tests showed signs of Guillain-Barré syndrome including albumino-cytological dissociation in cerebrospinal fluid and evidence of axonal neuropathy. He was diagnosed with Guillain-Barré syndrome reasonably associated with his recent tuberculosis diagnosis and improved after treatment with intravenous immunoglobulin.

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    8 views1 page

    Anemia - Infection An Unusual Combo

    Uploaded by

    subha95
    An 23-year-old man presented with weakness in all four limbs one week after being diagnosed with pulmonary tuberculosis. Examinations found reduced power in his limbs and hyporeflexia. Tests showed signs of Guillain-Barré syndrome including albumino-cytological dissociation in cerebrospinal fluid and evidence of axonal neuropathy. He was diagnosed with Guillain-Barré syndrome reasonably associated with his recent tuberculosis diagnosis and improved after treatment with intravenous immunoglobulin.

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    TUBERCULOSIS AND GUILLAIN BARRE SYNDROME

    Pulmonary tuberculosis causing Guillain-Barré has very few case reported.

    Case report: An 23 year-old man with a history of pulmonary tuberculosis diagnosed 1 week
    back and treated with antitubercular therapy presented with weakness of all four limbs.His
    power was 4/5 in the upper limbs , 2/5 in lower limbs with global hyporeflexia. Imaging of brain
    and spinal cord was normal. CSF analysis showed albumino-cytological dissociation . Nerve
    conduction showed evidence of an axonal neuropathy. Diagnosis of Guillain-Barré syndrome
    was made.

    Outcome: He was treated with IVIG and improved.The diagnosis of Pott's spine in a patient with
    tuberculosis is very common . Here we present a case of Guillain-Barre syndrome with a
    reasonable temporal association with the onset of pulmonary tuberculosis suggesting a probable
    relationship between the two. Some authors suggest that GBS can be resulted from direct
    invasion of the nerve roots by tubercle bacilli.

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