Guillain-Barré Syndrome in a Boy With Lung Fluke Infection: Case Report and Literature Review

J Child Neurol. 2015 Aug;30(9):1208-10. doi: 10.1177/0883073814546689. Epub 2014 Sep 24.

Abstract

Guillain-Barré syndrome is the most common acute peripheral neuropathy in children in most countries. The cause and pathogenesis of the disease have yet to be clarified. There have been only a few reports of Guillain-Barré syndrome resulting from parasite infections worldwide, no cases of Guillain-Barré syndrome after lung fluke infection have been reported. We report a case of an 8-year-old male patient with Guillain-Barré syndrome after lung fluke infection. The child had a history of consumption of undercooked crabs. He was diagnosed with paragonimiasis. The patient experienced paralysis of and pain in the lower limbs about 3 weeks after symptom onset. Neurologic and electrophysiologic examination findings supported the diagnosis of Guillain-Barré syndrome. Parasitic infections should also be considered when determining which antecedent infection is associated with Guillain-Barré syndrome.

Keywords: Guillain-Barré syndrome; children; paragonimiasis; parasitic infections.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Animals
  • Child
  • Guillain-Barre Syndrome / complications*
  • Humans
  • Lung Diseases / complications*
  • Lung Diseases / parasitology*
  • Magnetic Resonance Imaging
  • Male
  • Neural Conduction / physiology
  • Paragonimiasis / complications*