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Cureus . Occurrence of Guillain-Barre Syndrome During the Initial Symptomatic Phase of COVID-19 Disease: Coincidence or Consequence?

tetano

Editor, Senior Moderator
Cureus


. 2021 Nov 17;13(11):e19655.
doi: 10.7759/cureus.19655. eCollection 2021 Nov.
Occurrence of Guillain-Barre Syndrome During the Initial Symptomatic Phase of COVID-19 Disease: Coincidence or Consequence?


Rui Seixas[SUP] 1 [/SUP], David Campoamor[SUP] 1 [/SUP], João Lopes[SUP] 1 [/SUP], Teresa Bernardo[SUP] 1 [/SUP], Hipólito Nzwalo[SUP] 2 3 [/SUP], Dulce Pascoalinho[SUP] 4 [/SUP]



Affiliations

Abstract

Viral infections are frequently present before the clinical manifestation of Guillain-Barre syndrome (GBS). Multiple studies on coronaviruses have shown that these viruses have neurotropic characteristics, and their molecular mimicry can induce inflammatory demyelinating neuropathy. Herein, we describe a case of a GBS in an 85-year-old patient infected with SARS-CoV-2, manifested with acute progressive symmetric ascending quadriparesis, urinary dysautonomia, and dysphagia, who responded well to treatment with intravenous human immunoglobulin.

Keywords: covid-19; guillain barre syndrome; neurotropic virus; viral infections; viral mimicry.
 
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