Hanchosky Andrew M, Hellmann Emily, Chong Christian, Sarvepalli Satish
Internal Medicine, Kettering Health, Dayton, USA.
Boonshoft School of Medicine, Wright State University, Dayton, USA.
Cureus. 2025 May 5;17(5):e83538. doi: 10.7759/cureus.83538. eCollection 2025 May.
This case report describes a 38-year-old Caucasian male patient with minimal past medical history who presented with worsening cough, shortness of breath, and a fever over a two-week time period. He then developed upper extremity weakness, lower extremity weakness, and respiratory failure. After he was stabilized in the intensive care unit, initial workup revealed positive immunoglobulin G antibodies to (), and electromyography results indicated either acute motor axonal neuropathy or critical illness myopathy. Due to the patient's clinical presentation and workup results, acute inflammatory demyelinating polyradiculoneuropathy was also included in the differential. After an extensive hospitalization, treatment with intravenous immunoglobulin, and repeat testing, we conclude that this was an atypical presentation of a Guillain-Barré syndrome variant secondary to .
本病例报告描述了一名38岁的白种男性患者,既往病史极少,在两周时间内出现咳嗽加重、呼吸急促和发热症状。随后,他出现上肢无力、下肢无力和呼吸衰竭。在重症监护病房病情稳定后,初步检查显示针对()的免疫球蛋白G抗体呈阳性,肌电图结果提示急性运动轴索性神经病或危重病性肌病。鉴于患者的临床表现和检查结果,鉴别诊断中也包括急性炎症性脱髓鞘性多发性神经根神经病。经过长时间住院、静脉注射免疫球蛋白治疗及重复检测,我们得出结论,这是继发于()的吉兰-巴雷综合征变异型的非典型表现。