Rinsho Shinkeigaku (Clinical Neurology)

Brief Clinical Note

A case suspected Sensory Guillain-Barré syndrome subsequent to Campylobacter jejuni enteritis

Shinji Itamura, M.D.1j, Hiroki Izumo, M.D.1j and Hiroaki Ono, M.D., Ph.D.1j

1) Department of Pediatrics, Hiroshima Prefectural Hospital

A 9-year-old girl was admitted to our hospital with severe plantar pain, 7 days after the onset of Campylobacter jejuni enteritis. On admission, extremity strength and the deep tendon reflex were normal; however, there was difficulty in walking owing to plantar pain. Motor nerve conduction test showed no abnormalities. No spinal cord protein cell dissociation. Lumbar spine-enhanced MRI showed a 4th and 5th lumbar vertebrae nerve root contrast-enhanced effect. Gabapentin was effective in minimizing her pain, eventually enabling the patient to walk. Antiganglioside antibody tests on admission showed multiple positive results. Six months after the initial onset of symptoms, she had recovered completely. She was suspected with sensory Guillain-Barré syndrome (GBS). GBS subsequent to Campylobacter jejuni enteritis has been recognized as an acute motor axonal neuropathy; hence, this report is considered to be valuable.
Full Text of this Article in Japanese PDF (1513K)

(CLINICA NEUROL, 62: 301|304, 2022)
key words: Guillain-Barré syndrome, Campylobacter jejuni, sensory type

(Received: 14-Sep-21)