Episodes of Guillain-Barré syndrome associated with the acute phase of HIV-1 infection and with recurrence of viremia

Author:

Castro Gleusa de1,Bastos Patrícia Gomes2,Martinez Roberto1,Figueiredo José Fernando de Castro1

Affiliation:

1. University of São Paulo, Brazil; Department of Internal Medicine

2. University of São Paulo, Brazil; Department of Neurology, Psychiatry and Medical Psychology

Abstract

We report a severe case of Guillain-Barré syndrome (GBS) characterized by flaccid areflexive tetraplegia and signs of autonomic instability related to acute HIV-1 infection, and the occurrence of relapse episodes coinciding with the detection of HIV-1 RNA in blood during the phase of irregular treatment with antiretroviral agents. The patient has been asymptomatic for 3 years and has an HIV-1 load below the limit of detection. The recurrence of GBS in this case may be related to alterations of the immunologic response caused by disequilibrium in the host-HIV relationship due to the increase in HIV-1 viremia.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference10 articles.

1. Treatment of Guillain-Barré syndrome;Winer JB;Q J Med,2002

2. Guillain-Barré syndrome in HIV-infected patients at Bobo-Dioulasso Hospital (Burkina Faso);Millogo A;Rev Neurol (Paris),2004

3. HIV-associated Guillain-Barré syndrome;Brannagan TH;J Neurol Sci,2003

4. Guillain-Barré syndrome associated with human immunodeficiency virus infection in Zimbabwe;Thornton CA;Neurology,1991

5. Guillain-Barré syndrome presenting in the anti-HIV seroconversion period;Kumar S;Neurol India,2003

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