Guillain–Barré syndrome after trivalent influenza vaccination during pregnancy

Tomimatsu, Takuji; Sugihara, Mika; Nagai, Toshiaki; Sunada, Yoshihide; Kimura, Tadashi; Shimoya, Koichiro

doi:10.1016/j.ejogrb.2016.03.031

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…Neither IVIg nor plasma exchange is contraindicated during pregnancy. However, as plasma exchange requires additional considerations and monitoring, IVIg might be preferred 87–89 .…”

Section: Step 5: Treatment Optionsmentioning

confidence: 99%

Diagnosis and management of Guillain–Barré syndrome in ten steps

et al. 2019

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Guillain–Barré syndrome (GBS) is a rare, but potentially fatal, immune-mediated disease of the peripheral nerves and nerve roots that is usually triggered by infections. The incidence of GBS can therefore increase during outbreaks of infectious diseases, as was seen during the Zika virus epidemics in 2013 in French Polynesia and 2015 in Latin America. Diagnosis and management of GBS can be complicated as its clinical presentation and disease course are heterogeneous, and no international clinical guidelines are currently available. To support clinicians, especially in the context of an outbreak, we have developed a globally applicable guideline for the diagnosis and management of GBS. The guideline is based on current literature and expert consensus, and has a ten-step structure to facilitate its use in clinical practice. We first provide an introduction to the diagnostic criteria, clinical variants and differential diagnoses of GBS. The ten steps then cover early recognition and diagnosis of GBS, admission to the intensive care unit, treatment indication and selection, monitoring and treatment of disease progression, prediction of clinical course and outcome, and management of complications and sequelae.

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“…Neither IVIg nor plasma exchange is contraindicated during pregnancy. However, as plasma exchange requires additional considerations and monitoring, IVIg might be preferred 87–89 .…”

Section: Step 5: Treatment Optionsmentioning

confidence: 99%

Diagnosis and management of Guillain–Barré syndrome in ten steps

et al. 2019

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“…GBS in pregnancy has been reported after trivalent influenza vaccine administration; however, our patient didn't receive any vaccination. 7 However, due to the overlap of early symptoms of GBS with symptoms of pregnancy, there is usually a delay in diagnosis resulting in increased maternal and perinatal morbidity and mortality. However, there was no delay in presentation to hospital by our patient.…”

Section: Discussionmentioning

confidence: 99%

“…11 Plasmapheresis or IVIG are the mainstay of definitive treatment of GBS. 7 A systemic review has shown that plasma exchange is better than supportive treatment alone without a significant increase in adverse events. 12 In the same review, plasma exchange was however associated with a small but significant rate of relapse within the 6-12 months post-treatment with full recovery after 1 year of treatment.…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barré syndrome in pregnancy: A case report

Hukuimwe

Matsa

Gidiri

2017

Womens Health (Lond Engl)

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Guillain-Barré syndrome is a rare condition in pregnancy which is characterised by symmetrical progressive ascending polyneuropathy. A case of a 16-year-old nulliparous woman who presented with rapidly progressive limb paralysis following an upper respiratory tract infection a week prior to presentation is discussed. She was intubated as she had developed respiratory failure and managed in the intensive care unit by a multidisciplinary team. Plasma exchange and intravenous immunoglobulin were not readily available so she was managed conservatively. The management of Guillain-Barré syndrome, maternal and foetal outcomes have been discussed.

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