title: Guillain-Barré syndrome in the course of EBV infection after kidney transplantation--a case report.
abstract: BACKGROUND
  Neurological complications are quite frequent in patients after solid organ transplantation, mostly affecting the central nervous system, and less frequently the peripheral nerves. Guillain-Barré syndrome (GBS), a reactive autoimmune disease of the nervous tissue, is the most common cause of acute polyneuropathy in adults following a viral or bacterial infection. GBS has been also linked to neurotoxic adverse effects of calcineurin inhibitors. This syndrome occurs relatively frequently in patients after bone marrow transplantation, but has been a rare complication in solid organ transplant recipients. Epstein-Barr virus (EBV) infection is relatively common in transplant recipients and in some cases may lead to neurological complications.
  
  
  METHODS
  In this report we present an interesting case of a patient who developed GBS in the course of EBV infection 1 year after kidney transplantation.
  
  
  CONCLUSIONS
  In patients with rapid development of polyneuropathy after transplantation, Guillain-Barré syndrome should be excluded.
authors.affiliation: Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Łódź, Łódź, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Masajtis-Zagajewska
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Muras
authors.forename: Alina
authors.initials: A
authors.lastname: Mochecka-Thoelke
authors.forename: Ilona
authors.initials: I
authors.lastname: Kurnatowska
authors.forename: Michal
authors.initials: M
authors.lastname: Nowicki
mesh_terms: D020031:Epstein-Barr Virus Infections / Q000209:etiology*; D020275:Guillain-Barre Syndrome / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged