Acute Guillain-Barré syndrome associated with asymptomatic HIV infection

A 25-year-old male drug addict presented with a rapidly progressive ascending tetraplegia, requiring assisted ventilation. One month earlier he had fever (40 degrees C) and asthenia. Cerebrospinal fluid (CSF) examination showed elevated albumin level and albuminocytologic dissociation. HIV testing w...

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Bibliographic Details
Published inActa neurologica Vol. 14; no. 1; p. 66
Main Authors Franciotta, D M, Brustia, R, Minoli, L, Bono, G, Ceroni, M, Parisi, A, Melzi d'Eril, G
Format Journal Article
LanguageEnglish
Published Italy 01.02.1992
Subjects
Adult
HIV Infections - complications
Humans
Male
Plasma Exchange
Polyradiculoneuropathy - cerebrospinal fluid
Polyradiculoneuropathy - etiology
Polyradiculoneuropathy - therapy
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Summary:A 25-year-old male drug addict presented with a rapidly progressive ascending tetraplegia, requiring assisted ventilation. One month earlier he had fever (40 degrees C) and asthenia. Cerebrospinal fluid (CSF) examination showed elevated albumin level and albuminocytologic dissociation. HIV testing was positive in both serum and CSF. Plasma exchange therapy only partially improved the symptomatology. After five months the patient remained with a moderate tetraparesis. Differences between this and other cases of Guillain-Barré syndrome in HIV-seropositive patients reported in the literature are discussed.
ISSN:0001-6276