Baravelli Massimo, Rossi Andrea, Picozzi Anna, Gavazzi Armando, Imperiale Daniela, Dario Paola, Fantoni Cecilia, Borghi Silvana, Anza' Claudio
Int J Cardiol. 2007 Jan 8;114(2):E53-5. doi: 10.1016/j.ijcard.2006.07.202. Epub 2006 Oct 27.
Guillain-Barrè syndrome (GBS) is the most important cause of acute neuromuscular paralysis in western countries and it is preceded in almost all cases by an infectious disease such as Campylobacter Jejuni or Cytomegalovirus. However, GBS associated with previous bacterial endocarditis is very rare. We report the case of a 74-year-old man with GBS following Staphylococcus Aureus endocarditis affecting aortic valve. Although the absolute incidence of GBS is low, the present case stresses the need to consider GBS in patients developing neurological symptoms following any infectious illness, such as endocarditis, and highlights the challenging problem of rehabilitation and surgical management in these patients.
吉兰-巴雷综合征（GBS）是西方国家急性神经肌肉麻痹的最重要原因，几乎所有病例之前都有感染性疾病，如空肠弯曲菌或巨细胞病毒感染。然而，与先前细菌性心内膜炎相关的GBS非常罕见。我们报告了一例74岁男性，在金黄色葡萄球菌性心内膜炎累及主动脉瓣后发生GBS。尽管GBS的绝对发病率较低，但本病例强调了在任何感染性疾病（如心内膜炎）后出现神经症状的患者中需要考虑GBS，并且突出了这些患者康复和手术管理方面具有挑战性的问题。
