[Guillain-Barré syndrome preceded by diarrhea with the infection of Campylobacter jejuni].
We report a 77-year-old woman with Guillain-Barré syndrome following Campylobacter jejuni infection. She was admitted complaining of mild weakness in the left leg. Seven days before, she had severe diarrhea, which continued several days. After admission, the weakness soon worsened resulting in tetraparesis, and the respiration became so impaired that she was supported by the artificial ventilator. Deep tendon reflexes were absent in four limbs, and no sensory disturbance was noted. CSF contained the protein as low as 20.4 mg/dl in concentration; no pleocytosis was seen. Muscle action potentials evoked by the stimulation of nerves were markedly reduced in amplitude, but conduction velocity along the nerve was decreased mildly. Campylobacter jejuni was detected by bacterial culture of the stool; the antibody was positively raised against this bacteria in serum. By 90 hospitals days, she was restored to spontaneous respiration.
Yamada
S
S
Department of Neurology, Tokyo Metropolitan Geriatric Hospital.
Bandoh
M
M
Nagura
H
H
Yamanouchi
H
H
Inamatsu
T
T
D000368:Aged; D002169:Campylobacter Infections / Q000150:complications*; D016123:Campylobacter jejuni / Q000302:isolation & purification; D003967:Diarrhea / Q000209:etiology*; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D011129:Polyradiculoneuropathy / Q000209:etiology*