Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination

Guillain-Barre syndrome (GBS) following a SARS-CoV-2 vaccination has been repeatedly observed but GBS following a SARS-CoV-2 infection in a vaccinated patient has not been reported.A 69yo female developed paresthesias of both lower and upper limbs which were followed by progressive muscle weakness....

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Main Author: Josef Finsterer
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250921001827
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author Josef Finsterer
author_facet Josef Finsterer
author_sort Josef Finsterer
collection DOAJ
description Guillain-Barre syndrome (GBS) following a SARS-CoV-2 vaccination has been repeatedly observed but GBS following a SARS-CoV-2 infection in a vaccinated patient has not been reported.A 69yo female developed paresthesias of both lower and upper limbs which were followed by progressive muscle weakness. The history was positive for a mild SARS-CoV-2 infection 15 days earlier. COVID-19 occurred despite a first dose of a vector-based SARS-CoV-2 vaccine, 40 days prior to onset of GBS. Since CSF investigations and nerve conduction studies were indicative of GBS, subtype acute, inflammatory, demyelinating polyneuropathy (AIDP), immunoglobulins (30 g/d) were started. After two weeks complete recovery was achieved.In conclusion, SARS-CoV-2 infections may develop despite full vaccination and may be complicated by GBS. Since no other trigger of GBS could be identified, a causal relation between the SARS-CoV-2 infection and GBS was suspected.
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spelling doaj.art-ba4aa589ced849aeb62c5bb270f7125f2022-12-21T18:32:12ZengElsevierIDCases2214-25092021-01-0125e01226Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccinationJosef Finsterer0Klinik Landstrasse, Messerli Institute, Postfach 20, 1180, Vienna, AustriaGuillain-Barre syndrome (GBS) following a SARS-CoV-2 vaccination has been repeatedly observed but GBS following a SARS-CoV-2 infection in a vaccinated patient has not been reported.A 69yo female developed paresthesias of both lower and upper limbs which were followed by progressive muscle weakness. The history was positive for a mild SARS-CoV-2 infection 15 days earlier. COVID-19 occurred despite a first dose of a vector-based SARS-CoV-2 vaccine, 40 days prior to onset of GBS. Since CSF investigations and nerve conduction studies were indicative of GBS, subtype acute, inflammatory, demyelinating polyneuropathy (AIDP), immunoglobulins (30 g/d) were started. After two weeks complete recovery was achieved.In conclusion, SARS-CoV-2 infections may develop despite full vaccination and may be complicated by GBS. Since no other trigger of GBS could be identified, a causal relation between the SARS-CoV-2 infection and GBS was suspected.http://www.sciencedirect.com/science/article/pii/S2214250921001827SARS-CoV-2COVID-19PolyradiculitisVaccinationAdverse reactionSide effect
spellingShingle Josef Finsterer
Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination
IDCases
SARS-CoV-2
COVID-19
Polyradiculitis
Vaccination
Adverse reaction
Side effect
title Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination
title_full Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination
title_fullStr Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination
title_full_unstemmed Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination
title_short Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination
title_sort guillain barre syndrome 15 days after covid 19 despite sars cov 2 vaccination
topic SARS-CoV-2
COVID-19
Polyradiculitis
Vaccination
Adverse reaction
Side effect
url http://www.sciencedirect.com/science/article/pii/S2214250921001827
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