Guillain-Barre syndrome 15 days after COVID-19 despite SARS-CoV-2 vaccination. (2021)

• Record Type: Journal Article
• Authors: Finsterer, Josef
• Is Part Of: IDCases. Volume 25(2021)
• Publication Date: 2021
• Subjects: SARS-CoV-2 -- COVID-19 -- Polyradiculitis -- Vaccination -- Adverse reaction -- Side effect; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2021.e01226
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: 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.