Sharma Ankit, Kaeley Nidhi, Kandikonda Pruthvi R, Jose Jewel R, Meena Rinku
Department of Emergency Medicine, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
Department of Radiodiagnosis, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
J Family Med Prim Care. 2024 Nov;13(11):5411-5414. doi: 10.4103/jfmpc.jfmpc_854_24. Epub 2024 Nov 18.
Guillain-Barre syndrome (GBS) is an autoimmune disorder affecting the peripheral nervous system, often triggered by infections. This important medical emergency can also have noninfectious causes, such as trauma, surgery, medication (including vaccinations), and other systemic disorders. Here, we present a rare case of GBS following a snakebite. A 19-year-old man presented to the emergency department with quadriparesis and areflexia after showing initial recovery from a snakebite. Nerve conduction studies revealed motor axonal polyneuropathy. He was treated with intravenous immunoglobulin, which improved his clinical condition. This case report highlights a rare cause of GBS and emphasizes that timely recognition and treatment can significantly reduce morbidity and mortality. Additionally, we reviewed past literature of this rare association.
吉兰-巴雷综合征(GBS)是一种影响周围神经系统的自身免疫性疾病,常由感染引发。这种重要的医疗急症也可能有非感染性病因,如创伤、手术、药物(包括疫苗接种)及其他全身性疾病。在此,我们报告一例蛇咬伤后发生GBS的罕见病例。一名19岁男性在蛇咬伤后最初恢复,随后出现四肢无力和腱反射消失,就诊于急诊科。神经传导研究显示为运动轴索性多发性神经病。他接受了静脉注射免疫球蛋白治疗,临床状况有所改善。本病例报告突出了GBS的一种罕见病因,并强调及时识别和治疗可显著降低发病率和死亡率。此外,我们回顾了关于这种罕见关联的既往文献。