Abstract
| Lingua originale | English |
|---|---|
| pagine (da-a) | 74-78 |
| Numero di pagine | 5 |
| Rivista | Default journal |
| Volume | 16 |
| Stato di pubblicazione | Published - 2014 |
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All Science Journal Classification (ASJC) codes
- Neurology
- Clinical Neurology
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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
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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 -