Acute respiratory failure onset in a patient with Guillain-Barré syndrome after legionella-associated pneumonia: A case report

Simone Vigneri, Simone Vigneri, Ilaria Farinelli, Valeria Tugnoli, Savino Spadaro, Elisabetta Sette, Riccardo Ragazzi, Carlo A. Volta, Jay G. Capone

    Risultato della ricerca: Article

    2 Citazioni (Scopus)

    Abstract

    A 69-year-old white man was admitted because of a clinical history of persistent cough and fever. Chest x-rays showed bilateral lung infiltrates with air bronchograms, whereas the urine antigen test resulted positive for Legionella pneumophila. The next day, he was transferred to the intensive care unit and intubated because of severe renal and respiratory distress. Neurological examination revealed distal weakness and loss of deep tendon reflexes in lower extremities. Nerve conduction studies displayed severe demyelinating sensorimotor polyneuropathy, and plasmapheresis was therefore applied with mild improvement. Few weeks after, dysphagia occurred and electrophysiologic tests showed progressive axonal involvement with spread of demyelination to the cranial nerves. The patient underwent a new plasmapheresis course and slowly reached stable clinical improvement of neurological status, which allowed him to be safely discharged. This case showed a critical onset with respiratory failure and kidney functional impairment due to L. pneumophila, subsequently disclosing Guillain-Barré syndrome.
    Lingua originaleEnglish
    pagine (da-a)74-78
    Numero di pagine5
    RivistaDefault journal
    Volume16
    Stato di pubblicazionePublished - 2014

    Fingerprint

    Legionella pneumophila
    Legionella
    Plasmapheresis
    Respiratory Insufficiency
    Pneumonia
    Kidney
    Stretch Reflex
    Polyneuropathies
    Cranial Nerves
    Neural Conduction
    Neurologic Examination
    Demyelinating Diseases
    Deglutition Disorders
    Cough
    Intensive Care Units
    Lower Extremity
    Fever
    Thorax
    Air
    X-Rays

    All Science Journal Classification (ASJC) codes

    • Neurology
    • Clinical Neurology

    Cita questo

    Vigneri, S., Vigneri, S., Farinelli, I., Tugnoli, V., Spadaro, S., Sette, E., ... Capone, J. G. (2014). Acute respiratory failure onset in a patient with Guillain-Barré syndrome after legionella-associated pneumonia: A case report. Default journal, 16, 74-78.

    Acute respiratory failure onset in a patient with Guillain-Barré syndrome after legionella-associated pneumonia: A case report. / Vigneri, Simone; Vigneri, Simone; Farinelli, Ilaria; Tugnoli, Valeria; Spadaro, Savino; Sette, Elisabetta; Ragazzi, Riccardo; Volta, Carlo A.; Capone, Jay G.

    In: Default journal, Vol. 16, 2014, pag. 74-78.

    Risultato della ricerca: Article

    Vigneri, S, Vigneri, S, Farinelli, I, Tugnoli, V, Spadaro, S, Sette, E, Ragazzi, R, Volta, CA & Capone, JG 2014, 'Acute respiratory failure onset in a patient with Guillain-Barré syndrome after legionella-associated pneumonia: A case report', Default journal, vol. 16, pagg. 74-78.
    Vigneri, Simone ; Vigneri, Simone ; Farinelli, Ilaria ; Tugnoli, Valeria ; Spadaro, Savino ; Sette, Elisabetta ; Ragazzi, Riccardo ; Volta, Carlo A. ; Capone, Jay G. / Acute respiratory failure onset in a patient with Guillain-Barré syndrome after legionella-associated pneumonia: A case report. In: Default journal. 2014 ; Vol. 16. pagg. 74-78.
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    title = "Acute respiratory failure onset in a patient with Guillain-Barr{\~A}{\circledC} syndrome after legionella-associated pneumonia: A case report",
    abstract = "A 69-year-old white man was admitted because of a clinical history of persistent cough and fever. Chest x-rays showed bilateral lung infiltrates with air bronchograms, whereas the urine antigen test resulted positive for Legionella pneumophila. The next day, he was transferred to the intensive care unit and intubated because of severe renal and respiratory distress. Neurological examination revealed distal weakness and loss of deep tendon reflexes in lower extremities. Nerve conduction studies displayed severe demyelinating sensorimotor polyneuropathy, and plasmapheresis was therefore applied with mild improvement. Few weeks after, dysphagia occurred and electrophysiologic tests showed progressive axonal involvement with spread of demyelination to the cranial nerves. The patient underwent a new plasmapheresis course and slowly reached stable clinical improvement of neurological status, which allowed him to be safely discharged. This case showed a critical onset with respiratory failure and kidney functional impairment due to L. pneumophila, subsequently disclosing Guillain-Barr{\~A}{\circledC} syndrome.",
    keywords = "Aged, GBS, Guillain-Barre Syndrome, Humans, Legionella pneumophila, Legionnaires' Disease, Male, Neurology, Neurology (clinical), Plasmapheresis, Renal failure, Respiratory Insufficiency, Respiratory distress",
    author = "Simone Vigneri and Simone Vigneri and Ilaria Farinelli and Valeria Tugnoli and Savino Spadaro and Elisabetta Sette and Riccardo Ragazzi and Volta, {Carlo A.} and Capone, {Jay G.}",
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    TY - JOUR

    T1 - Acute respiratory failure onset in a patient with Guillain-Barré syndrome after legionella-associated pneumonia: A case report

    AU - Vigneri, Simone

    AU - Vigneri, Simone

    AU - Farinelli, Ilaria

    AU - Tugnoli, Valeria

    AU - Spadaro, Savino

    AU - Sette, Elisabetta

    AU - Ragazzi, Riccardo

    AU - Volta, Carlo A.

    AU - Capone, Jay G.

    PY - 2014

    Y1 - 2014

    N2 - A 69-year-old white man was admitted because of a clinical history of persistent cough and fever. Chest x-rays showed bilateral lung infiltrates with air bronchograms, whereas the urine antigen test resulted positive for Legionella pneumophila. The next day, he was transferred to the intensive care unit and intubated because of severe renal and respiratory distress. Neurological examination revealed distal weakness and loss of deep tendon reflexes in lower extremities. Nerve conduction studies displayed severe demyelinating sensorimotor polyneuropathy, and plasmapheresis was therefore applied with mild improvement. Few weeks after, dysphagia occurred and electrophysiologic tests showed progressive axonal involvement with spread of demyelination to the cranial nerves. The patient underwent a new plasmapheresis course and slowly reached stable clinical improvement of neurological status, which allowed him to be safely discharged. This case showed a critical onset with respiratory failure and kidney functional impairment due to L. pneumophila, subsequently disclosing Guillain-Barré syndrome.

    AB - A 69-year-old white man was admitted because of a clinical history of persistent cough and fever. Chest x-rays showed bilateral lung infiltrates with air bronchograms, whereas the urine antigen test resulted positive for Legionella pneumophila. The next day, he was transferred to the intensive care unit and intubated because of severe renal and respiratory distress. Neurological examination revealed distal weakness and loss of deep tendon reflexes in lower extremities. Nerve conduction studies displayed severe demyelinating sensorimotor polyneuropathy, and plasmapheresis was therefore applied with mild improvement. Few weeks after, dysphagia occurred and electrophysiologic tests showed progressive axonal involvement with spread of demyelination to the cranial nerves. The patient underwent a new plasmapheresis course and slowly reached stable clinical improvement of neurological status, which allowed him to be safely discharged. This case showed a critical onset with respiratory failure and kidney functional impairment due to L. pneumophila, subsequently disclosing Guillain-Barré syndrome.

    KW - Aged

    KW - GBS

    KW - Guillain-Barre Syndrome

    KW - Humans

    KW - Legionella pneumophila

    KW - Legionnaires' Disease

    KW - Male

    KW - Neurology

    KW - Neurology (clinical)

    KW - Plasmapheresis

    KW - Renal failure

    KW - Respiratory Insufficiency

    KW - Respiratory distress

    UR - http://hdl.handle.net/10447/255464

    UR - http://journals.lww.com/jcnmd

    M3 - Article

    VL - 16

    SP - 74

    EP - 78

    JO - Default journal

    JF - Default journal

    ER -