Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report
Authors: Enkhmaa Luvsannyam, Arathi Jayaraman, Molly Sanjay Jain, Karan Sharma, Manoj Reddy Somagutta, Rathna Kumar Yallapragada
Background: Coronaviruses can affect multiple body systems and respiratory failure is the most common complication. Since the outbreak of coronavirus disease-2019 (COVID-19) in January 2020, the association between COVID-19 and Guillain-Barre syndrome (GBS) has been growing. GBS is known to be triggered by an antecedent infection, mostly viruses. Case Presentation: We present a case of GBS in an 83-year-old female patient with a confirmed COVID-19 infection. The patient initially presented with fever, cough, and fatigue. She was treated with intravenous fluid and symptomatic treatment and discharged home after stabilization. Several weeks after her initial encounter, she experienced bilateral paresthesias as well as numbness and tingling in her lower extremities. The patients neurological symptoms were not alleviated with standard intravenous immune globulin (IVIG) therapy; however, her symptoms significantly improved with subsequent plasmapheresis therapy. Conclusion: Based on the emerging evidence of recent studies, there is a possible connection between COVID-19 and GBS. Clinicians should be aware of the neurological manifestations of COVID-19 infection. Early diagnosis and proper treatment of COVID-19 and its neurological symptoms are crucial to increase the chance of a successful recovery.
Keywords: COVID-19, SARS-CoV-2, coronavirus, Guillain-Barre syndrome, acute inflammatory demyelinating polyneuropathy, case report.
Authors
Correspondence to:
Enkhmaa Luvsannyam, Internal Medicine, Surgery Department, Avalon University School of Medicine, Willemstad, Curacao luvsenkh@isu.edu
Publication history:
Received 12 Apr 2021
Revised 18 Jul 2021
Accepted 31 Jul 2021
Published online 26 Aug 2021
Published in print 28 Aug 2021
Luvsannyam E, Jayaraman A, Jain MS, Sharma K, Somagutta MR, Yallapragada RK. Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. EJMCR. 2021; 5(8): 242-245. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam E, Jayaraman A, Jain MS, Sharma K, Somagutta MR, Yallapragada RK. Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. https://www.ejmcr.com/?mno=72140 [Access: April 25, 2024]. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam E, Jayaraman A, Jain MS, Sharma K, Somagutta MR, Yallapragada RK. Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. EJMCR. 2021; 5(8): 242-245. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam E, Jayaraman A, Jain MS, Sharma K, Somagutta MR, Yallapragada RK. Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. EJMCR. (2021), [cited April 25, 2024]; 5(8): 242-245. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam, E., Jayaraman, . A., Jain, . M. S., Sharma, . K., Somagutta, . M. R. & Yallapragada, . R. K. (2021) Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. EJMCR, 5 (8), 242-245. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam, Enkhmaa, Arathi Jayaraman, Molly Sanjay Jain, Karan Sharma, Manoj Reddy Somagutta, and Rathna Kumar Yallapragada. 2021. Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. European Journal of Medical Case Reports, 5 (8), 242-245. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam, Enkhmaa, Arathi Jayaraman, Molly Sanjay Jain, Karan Sharma, Manoj Reddy Somagutta, and Rathna Kumar Yallapragada. "Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report." European Journal of Medical Case Reports 5 (2021), 242-245. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam, Enkhmaa, Arathi Jayaraman, Molly Sanjay Jain, Karan Sharma, Manoj Reddy Somagutta, and Rathna Kumar Yallapragada. "Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report." European Journal of Medical Case Reports 5.8 (2021), 242-245. Print. doi:
10.24911/ejmcr/173-1618006223
Luvsannyam, E., Jayaraman, . A., Jain, . M. S., Sharma, . K., Somagutta, . M. R. & Yallapragada, . R. K. (2021) Guillain-Barre syndrome following COVID-19 infection in an elderly patient: a case report. European Journal of Medical Case Reports, 5 (8), 242-245. doi:
10.24911/ejmcr/173-1618006223