A Precipitant Less Appreciated: A Glance at Cases of Tuberculosis Manifesting with Guillain Barre Syndrome

Camelia Porey, B. Jaiswal
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Abstract

Guillain-Barre syndrome (GBS) is an immune triggered inflammatory polyneuropathy precipitated by various triggers by means of cross reactivity and molecular mimicry. Tuberculosis (TB) of any organ, although may produce features of peripheral neuropathy, has rarely been associated with GBS. We describe a middle-aged female patient in whom pulmonary TB manifested with GBS primarily without any prominent constitutional symptoms and review the literature to strengthen our viewpoint in this regard. The treatment with immunomodulators is beneficial with good outcome and thus early diagnosis and intervention is suggested.
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一个不被重视的急性病:以格林-巴利综合征为表现的肺结核病例一览
格林-巴利综合征(GBS)是一种免疫触发的炎症性多神经病变,通过交叉反应性和分子拟态等多种触发因素诱发。任何器官的结核(TB),虽然可能产生周围神经病变的特征,但很少与GBS相关。我们描述了一位中年女性患者,其中肺结核主要表现为GBS,没有任何突出的体质症状,并回顾文献以加强我们在这方面的观点。免疫调节剂治疗有益,预后良好,建议早期诊断和干预。
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期刊介绍: Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.
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