[A case of acute hepatitis a complicated by Guillain-Barré syndrome].
We report here a case of acute hepatitis A, which was complicated by Guillain-Barré syndrome (GBS). A 32-year old male admitted to our hospital with the symptoms of acute hepatitis and was diagnosed to have acute hepatitis A with positive IgM anti hepatitis A virus antibody. On 9th day after the onset of jaundice, acute progressive, ascending, symmetric motor paralysis were developed and eventually respiratory failure ensued. Cerebrospinal fluid analysis showed albumino-cytologic dissociation and nerve conduction velocity test suggested a polyradiculopathy. He was diagnosed to have GBS and treated with intravenous immunoglobulin and required a ventilatory support. After 90 hospital days, he recovered in ambulatory condition with the aid of crutches. The clinical course, prognosis and the outcome of neuropathic symptoms of GBS following acute hepatitis A were relatively poor in our case.
Bae
Yun Jeong
YJ
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Kim
Kang Mo
KM
Kim
Kwang Kuk
KK
Rho
Jae Hyung
JH
Lee
Hyun Ki
HK
Lee
Yung Sang
YS
Suh
Dong Jin
DJ
D000208:Acute Disease; D000328:Adult; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006506:Hepatitis A / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male
D016756:Immunoglobulins, Intravenous