Vigneswaran Hari, Parikh Leslie, Poppas Athena
Warren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903, USA.
Case Rep Med. 2015;2015:757410. doi: 10.1155/2015/757410. Epub 2015 Nov 19.
Within internal medicine, cardiac and neurologic pathology comprises a vast majority of patient complaints. Physicians and advanced-care practitioners must be highly educated and comfortable in the evaluation, diagnosis, and management of these entities. Chest pain accounts for millions of annual visits to the emergency room with pericarditis diagnosed in approximately four percent of patients with nonischemic chest pain. Guillain-Barre Syndrome is autoimmune polyneuropathy that often results in transient paralysis. Simultaneous diagnosis of both entities is a rare but described phenomenon. Here, we present a clinical case of GBS associated pericarditis. A fifty-five-year-old man with history of renal transplant presented with lower extremity weakness and urinary incontinence. Physical exam and diagnostic studies confirmed Guillain-Barre Syndrome. Patient subsequently developed stabbing chest pain with clinical presentation and electrocardiogram consistent with pericarditis. The patient was successfully treated for both diseases. This case highlights that although infrequent, internal medicine care providers must be cognizant of this correlation to ensure timely diagnosis and treatment.
在内科领域，心脏和神经病理学涵盖了绝大多数患者的主诉。内科医生和高级护理从业者必须接受过良好的教育，并能熟练地评估、诊断和处理这些病症。胸痛每年导致数百万患者前往急诊室就诊，在非缺血性胸痛患者中，约4%被诊断为心包炎。吉兰-巴雷综合征是一种自身免疫性多神经病，常导致短暂性瘫痪。同时诊断出这两种病症的情况虽罕见，但已有相关报道。在此，我们报告一例吉兰-巴雷综合征相关性心包炎的临床病例。一名有肾移植病史的55岁男性，出现下肢无力和尿失禁症状。体格检查和诊断性检查确诊为吉兰-巴雷综合征。随后，患者出现刺痛性胸痛，临床表现和心电图与心包炎相符。该患者的两种疾病均得到成功治疗。此病例表明，尽管这种情况并不常见，但内科护理人员必须认识到这种关联，以确保及时诊断和治疗。
