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A Case of Guillain-Barre Syndrome Following Plasmodium vivax infection
Bong Jin Ko1, Eun Jin Kim2, Dae Seop Lim1, Jang Won Park1, Jae Woong Tae1, Ji Yeon Ryu3, and Suk Hoon Choi1
Departments of 1Internal Medicine, 2Pediatrics, and 3Neurology, Hanil General Hospital, Seoul, Korea
Vol.42 Num.6 (p424~427)
A 28-year-old male was admitted to our medical center with general myalgia and fever. After a series of tests, he was diagnosed with P. vivax malaria. On the 5th hospital day, the patient complained of tingling sensation on both hands and feet, which acutely progressed to ascending symmetric motor paralysis. Nerve conduction velocity test and cerebrospinal fluid analysis showed albumino-cytologic dissociation, suggesting polyradiculopathy, and thus he was diagnosed with Guillain-Barre syndrome. After 5-day treatment with intravenous immunoglobulin, and antificial ventilator therapy the patient fully recovered. In the literature, only 22 cases of Guillain-Barre syndrome associated with Plasmodium have been reported; 19 cases were caused by Plasmodium falciparum and 3 were by P. vivax . Herein, we report the first case of Guillain-Barre Syndrome associated with P. vivax malaria in Korea.
Keywords : Guillain-Barre syndrome, Plasmodium vivax , Malaria