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Journal of Tropical Pediatrics Advance Access published online on March 28, 2008
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmn010
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Guillain–Barré Syndrome Associated with Legionnella Infection

B. Akyildiza, H. Gümüsb, S. Kumandasb, A. Coskunc, A. Baykana, A. Yikilmazc, I. Karaa and A. Okurc

aDepartment of Pediatric Intensive, bDepartment of Pediatric Neurology Care, and cDepartment of Pediatric Radiology, Erciyes University Medical Faculty, Kayseri, Turkey

Correspondence: Basak Akyildiz, MD, Department of Pediatric Intensive Care, Erciyes University School of Medicine, Kayseri, Turkey. E-mail < basaknurbesra{at}gmail.com>.


  Abstract

This is the first report of Guillain–Barré syndrome (GBS) related to Legionnella pneumophilia infection. A 13-year-old boy presented with acute dysphagia and dyspnea. He lived in a rural area and had a history of drinking potable deep-hole water. The patient was intubated because of increased respiratory distress. A positive direct fluoresein antigen test confirmed L. pneumophilia infection in BAL. One week after the first admission, acute weakness was noticed including the lower extremities and was more prominent in the distal than the proximal portions. GBS was considered as the initial diagnosis. Tests for all causes known to trigger GBS were negative. Specific serology for L. pneumophilia IgG was positive. He was treated with intravenous immunoglobulins and discharged with minor weakness and difficulty in walking in the second month. On the basis of this case, L. pneumophilia should be included in the etiologic spectrum of GBS.

Key Words: Guillain–Barré syndrome • Legionnella pneumophilia • weakness


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