Delayed Recognition of Guillain-Barré Syndrome in a Child: A Misleading Respiratory Distress

Lacroix, Laurence; Galetto, Annick; Haenggeli, Charles-Antoine; Gervaix, Alain

doi:10.1016/j.jemermed.2008.02.063

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…After reaching a plateau phase most patients start recovering but the rate and extent of recovery is highly variable [5,6]. The uncertainty of the clinical course in individual patients complicates the treatment and care, as indicated for example by the need for emergency intubation in children with GBS [7,8]. Accurate prediction models may early identify patients at risk of respiratory failure or of poor recovery which may help preventing emergencies or identify patients for future more intensive treatment.…”

Section: Introductionmentioning

confidence: 99%

Predicting respiratory failure and outcome in pediatric Guillain-Barré syndrome

Venema¹,

Wit²,

Lingsma³

et al. 2023

European Journal of Paediatric Neurology

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Section: Introductionmentioning

confidence: 99%

Predicting respiratory failure and outcome in pediatric Guillain-Barré syndrome

Venema¹,

Wit²,

Lingsma³

et al. 2023

European Journal of Paediatric Neurology

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“…As it has previously been reported, this delayed the neurologic diagnosis. 26 It is well known that in emergency departments, where clinical presentations can be elusive at first, misdiagnoses or delayed diagnoses are not uncommon. 27 Furthermore, the neurological manifestations were unusual, thus making the diagnosis more challenging.…”

Section: Discussionmentioning

confidence: 99%

A New Observation of an Atypical and Severe Variant of the Guillain-Barre Syndrome in a Child

Pons

Manel

Ville

et al. 2015

Child Neurology Open

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Guillain-Barré syndrome is a rare acute polyradiculoneuropathy. Several variants and unusual presentations have been described, particularly in pediatrics. In most cases, making an early diagnosis is challenging due to the treatments that consist in the rapid administration of intravenous immunoglobulin or plasma exchange. The authors present the case of a 7-year-old boy with an atypical and severe axonal Guillain-Barré syndrome, associated with Mycoplasma pneumonia. When he was admitted, febrile respiratory failure was the main focus, and then he presented signs of acute polyneuropathy with cranial nerve palsy and brief hyperreflexia. Mechanical ventilation was required for 48 days as well as 2 cycles of intravenous immunoglobulin. The authors describe all the medical challenges that the authors encountered. This case highlights the fact that respiratory distress can be the main clinical symptom in children. This delays the establishment of a correct diagnosis, even more so when neurological manifestations are abundant and unusual.

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Pediatric Neurology

Nallu

2020

Prepare for the Pediatric Emergency Medicine Board Examination

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Delayed Recognition of Guillain-Barré Syndrome in a Child: A Misleading Respiratory Distress

Cited by 5 publications

References 13 publications

Predicting respiratory failure and outcome in pediatric Guillain-Barré syndrome

Predicting respiratory failure and outcome in pediatric Guillain-Barré syndrome

A New Observation of an Atypical and Severe Variant of the Guillain-Barre Syndrome in a Child

Pediatric Neurology

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