[Guillain-Barré syndrome with favorable outcome in a case of recent human immunodeficiency virus infection].
An acute polyradiculoneuropathy occurred in a 30 years homosexual male. E.L.I.S.A. test and Western Blot showed recent infection by H.I.V. Besides, endogenous reinfestation by cytomegalovirus was found: high concentrations of specific IgG antibodies and presence of the virus in the blood. T4 helper cells were severely reduced, without any other sign of cellular immunity failure. None of the two viruses was found in the nervous biopsy. This Guillain-Barre syndrome with a subsequent cellular reaction in the CSF, is probably to be related to an immunoallergic mechanism. Brief increase of antibodies specific for HBsAg and Borrelia Burgdorferri and the beneficial effect of plasmapheresis, supported this view. Two months later, the patient showed superficial lymph nodes hyperplasia, without any other symptom of pre-Acquired Immuno-Depression Syndrome.
Persuy
P
P
Service de Neurologie B, CHU Lille.
Arnott
G
G
Fortier
B
B
Ajana
F
F
Blondel
M
M
Fourrier
F
F
Dewilde
A
A
Maniez-Montreuil
M
M
D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D003586:Cytomegalovirus Infections / Q000209:etiology; D006679:HIV Seropositivity / Q000175:diagnosis; D006801:Humans; D008297:Male; D009894:Opportunistic Infections / Q000209:etiology; D010956:Plasmapheresis; D011129:Polyradiculoneuropathy / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D011379:Prognosis; D012008:Recurrence; D012698:Serologic Tests
D000914:Antibodies, Viral
Syndrome de Guillain et Barré d'evolution favorable dans un cas d'infection récente par le virus de l'immunodéficience humaine.