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A case report of Guillain Barre syndrome revealing underlying infective endocarditis due to Cardiobacterium hominis.


ABSTRACT:

Rationale

Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy presumed to result from an infection-triggered autoimmune reaction.

Patient concerns

This paper describes a 53-year-old man admitted to hospital for deterioration of his general condition.

Diagnosis

He developed GBS, confirmed by lumbar puncture and electromyogram, which recovered after intravenous immunoglobulins. A grade 2 aortic regurgitation was detected by transthoracic echocardiography upon diagnosis of GBS, but in the absence of fever, no further investigations were conducted. A few weeks later, the patient presented with fever and infective endocarditis (IE) was diagnosed after the identification of vegetation on the aortic valve with transesophageal echocardiography. The e

SUBMITTER: Diallo K 

PROVIDER: S-EPMC6485866 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature