ELECTROMIOGRAFIA EN SINDROME DE GUILLAIN BARRE PDF

Guillain Barre syndrome in association with Brucellosis. Moore 3,b,c. London, England. Hospital Nacional Dos de Mayo. We describe a case of a 47 years old male, with a history of 2 days of progressive, ascendant, symmetrical weakness in the lower extremities; a lumbar puncture was performed after the brain CT scan, as well as an electromyography, evidencing pure motor polyradiculopathy with axonal pattern, compatible with Guillain Barre syndrome. Afterwards, he received four plasmapheresis sessions, with clinical improvement from the second session.

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Guillain Barre syndrome in association with Brucellosis. Moore 3,b,c. London, England. Hospital Nacional Dos de Mayo. We describe a case of a 47 years old male, with a history of 2 days of progressive, ascendant, symmetrical weakness in the lower extremities; a lumbar puncture was performed after the brain CT scan, as well as an electromyography, evidencing pure motor polyradiculopathy with axonal pattern, compatible with Guillain Barre syndrome.

Afterwards, he received four plasmapheresis sessions, with clinical improvement from the second session. Due to his epidemiological background, Brucella set testing was done. Rose Bengal was positive, antibiotic treatment with rifampin and doxicicline was initiated, as well as rehabilitation. Three months later the patient recovered completely. The relevance of early treatment with plasmapheresis and the definition of the etiologic diagnosis determine that the prognosis of the Guillain Barre syndrome is favorable.

La prueba de fuerza muscular escala 0 a 5 de las extremidades inferiores fue 0 con pruebas manuales, la cadera y los flexores plantares de ambos lados fue 1. Los trastornos del sistema nervioso son complicaciones poco frecuentes 6 , aunque se ha reportado casos de meningitis, abscesos, granulomas 7,8 , y espondilitis 9. En el trabajo realizado por Watanabe et al. Al Dr. Bladwin CL, Goenka R. Host immune responses to the intracellular bacteria Brucella: does the bacteria instruct the host to facilitate chronic infection?

Crit Rev Immunol. Complications associated with BrucelIa melitensis infection: a study of cases. Medicine Baltimore. Surg Neurol. En: Sociedad Peruana de Medicina Interna. Lima: Sociedad Peruana de Medicina Interna; Spinal cord compression due to Brucella granuloma. Arthritis of shoulder and spinal cord compression due to Brucella disc infection. Br J Rheumatol. Management of spinal brucellosis and outcome of rehabilitation. Spinal Cord. Barzegar M, Shoaran M. Guillain Barre syndrome associated with brucellosis.

Pak J Med Sci. Int J Clin Pract. J Assoc Physicians India. Neurologia ; 4 4 : Eur J Pediatr. Central nervous system brucellosis: presentation, diagnosis and treatment. J Infect. Clinical categories of neurobrucellosis.

A report on 19 cases. J Infect Dis. ABSTRACT We describe a case of a 47 years old male, with a history of 2 days of progressive, ascendant, symmetrical weakness in the lower extremities; a lumbar puncture was performed after the brain CT scan, as well as an electromyography, evidencing pure motor polyradiculopathy with axonal pattern, compatible with Guillain Barre syndrome.

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Adalimumab is a recombinant human monoclonal antibody that blocks the effects of tumor necrosis factor-alpha, and is presently used for treatment of rheumatoid arthritis, with demyelination being a potential adverse effect. A year-old male with seropositive rheumatoid arthritis presented with diarrhea after the second injection of adalimumab. He was treated with ciprofloxacin. Adalimumab may be associated with the development of demyelination and infectious diseases. Moreover, both the central nervous system and the peripheral nervous system can be affected.. Adalimumab es un anticuerpo monoclonal recombinante humano que bloquea el efecto del factor de necrosis tumoral alfa. Among the known secondary effects related with adalimumab, skin reactions, reactivation of tuberculosis, congestive heart failure, lupus like syndromes, cytopenias, and worsening or onset of demyelinating neurologic diseases are found, 2 as well as rhinitis, headache, upper respiratory tract infections, 3 joint pain, nausea, diarrhea, and other more serious infections needing hospitalization and tumors.

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