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Year : 2015  |  Volume : 10  |  Issue : 4  |  Page : 399-400

Guillain-Barre syndrome masquerading as acute respiratory failure in an infant

Pediatric Intensive Care Unit, B. L. Kapur Super Speciality Hospital, New Delhi, India

Correspondence Address:
Pradeep Kumar Sharma
Flat No. 48, Pocket 7, Sector 21, Rohini, New Delhi - 110 086
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1745.174461

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Guillain-Barré syndrome (GBS) is a rare entity in infants. We report a case of GBS in a 5-month-old girl. The child presented with cough, loose stools, breathing difficulty, and listlessness. The child was treated as pneumonia with respiratory failure. Due to difficulty in weaning from ventilation with areflexia, marked hypotonia, and reduced power in all four limbs; possibilities of spinal muscular atrophy, poliomyelitis, and myopathies were kept. Nerve conduction velocity study was suggestive of mixed sensory-motor, severe axonal, and demyelinating polyradiculoneuropathy. Cerebrospinal fluid study revealed albuminocytological dissociation. Child was diagnosed as GBS and treated with intravenous immunoglobulin. Child recovered completely on follow-up. GBS should be considered as a differential diagnosis in acute onset respiratory failure with neuromuscular weakness in infants.


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