Management af a Patient with Guillain-Barré Syndrome Miller Fisher Type and Hospital-Acquired Pneumonia in the Intensive Care Unit : a Case Report

Suwarman; Tresna Kusumah Natapraja

doi:10.47353/jsocmed.v3i11.177

Management af a Patient with Guillain-Barré Syndrome Miller Fisher Type and Hospital-Acquired Pneumonia in the Intensive Care Unit : a Case Report

Suwarman
Consultant Intensive Care, Faculty of Medicine, Padjadjaran University / Hasan Sadikin General Hospital
Tresna Kusumah Natapraja
Intensive Care Trainee, Faculty of Medicine, Padjadjaran University / Hasan Sadikin General Hospital Bandung

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an acute, flaccid polyneuropathy that occurs following an infection and is mediated by an autoimmune process. Patients with GBS frequently experience respiratory complications that necessitate mechanical ventilation. Neurological impairments associated with GBS, such as decreased airway patency, ineffective cough, and difficulty swallowing, increase the risk of pulmonary infections like hospital-acquired pneumonia (HAP).

Case Report: We present the case of a 59-year-old woman who experienced respiratory failure due to GBS and HAP and required treatment in the Intensive Care Unit (ICU). The patient was managed with Therapeutic Plasma Exchange (TPE), which resulted in clinical improvement. It took 18 days for the patient to be weaned off mechanical ventilation.

Conclusion: A detailed review of the management strategies for GBS and HAP is essential to enhance future treatment approaches and ensure they align with current literature.

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Published at

30. November 2024
https://doi.org/10.47353/jsocmed.v3i11.177
Issue:

Vol. 3 No. 11 (2024): November
Section:

Articles
Keywords:

Guillain Barre Syndrome Hospital Acquired Pneumonia Neurological impairments
References:

Shang P, Feng J, Wu W. Intensive Care and Treatment of Severe Guillain–Barré Syndrome. Frontiers in Pharmacology. 2021; 1: 130-608.

Melone MA, Heming N, Meng P. Early mechanical ventilation in patients with Guillain-Barré syndrome at high risk of respiratory failure: a randomized trial. Ann Intensive Care; 10. Epub ahead of print 1 December 2020; 10: 20-742.

Aliberti S, Dela Cruz CS, Amati F. Seminar Community-acquired pneumonia. 2021; 1: 1-10.

Irawan R, Reviono, Harsini. Korelasi Kadar Copeptin dan Skor PSI dengan Waktu Terapi Sulih Antibiotik Intravena ke Oral dan Lama Rawat Pneumonia Komunitas. 2019; 39: 44-59.

Leonhard SE, Mandarakas MR, Gondim FAA. Diagnosis and management of Guillain–Barré syndrome in ten steps. 2019; 15: 671-683.

Shang P, Zhu M, Baker M. Mechanical ventilation in Guillain-Barré syndrome. Expert Review of Clinical Immunology. 2020; 16: 1053-1064.

González P, García X, Guerra A. Experiencia del síndrome de Guillain-Barré en una Unidad de Cuidados Intensivos neurológicos. Neurologia. 2016; 31: 389-394.

Bhagat H, Dash H, Chauhan R. Intensive care management of Guillain-Barre syndrome: A retrospective outcome study and review of literature. J Neuroanaesth Crit Care. 2014; 1: 188-197.

Orlikowski D, Sharshar T, Porcher R. Prognosis and risk factors of early onset pneumonia in ventilated patients with Guillain-Barré syndrome. Intensive Care Med. 2006; 32: 1962-1969.

Zaki HA, Iftikhar H, Najam M. Plasma exchange (PE) versus intravenous immunoglobulin (IVIG) for the treatment of Guillain-Barré syndrome (GBS) in patients with severe symptoms: A systematic review and meta-analysis. eNeurologicalSci. 2023; 10: 100-468.

Meregildo-Rodriguez ED, Bardales-Zuta VH. Mortality and disability reported after immunoglobulins or plasmapheresis treatment of Guillain-Barré syndrome. Infezioni in Medicina. 2021; 29 (1): 589-599.

Hughes RAC, Swan A V, van Doorn PA. Intravenous immunoglobulin for Guillain-Barré syndrome. Cochrane Database of Systematic Reviews. Epub ahead of print 19 September. 2014; 10: 20-63.

Saad K, Mohamad IL, Abd Hamed MA. A comparison between plasmapheresis and intravenous immunoglobulin in children with Guillain-Barre syndrome in Upper Egypt. Ther Adv Neurol Disord. 2016; 9: 3-8.

Ortiz-Salas P, Meerbeke VV, Gomez AG. Human Immunoglobulin Versus Plasmapheresis in Guillain-Barre Syndrome and Myasthenia Gravis. 2016; 1: 1-19.

Nguyen TC, Kiss JE, Goldman JR. The Role of Plasmapheresis in Critical Illness. Critical Care Clinics 2012; 28: 453-468.

Parvez Asghar S, Mubarik H, Shams N. Guillain Barre Syndrome, the Therapeutic Outcomes Pak Armed Forces Med. 2015; 1: 1-20.

Morgan AJ, Glossop AJ. Severe community-acquired pneumonia. 2016; 16: 167-172.

Maulana D, Widianto Sudjud R, Dian Kestriani Saragi Sitio N. Management of Guillain Barré Syndrome in Patients with Community Acquired Pneumonia. 2010; 1: 1-110.

Torres A, Cilloniz C, Niederman MS. Pneumonia. Nature Reviews Disease Primers; 7. Epub ahead of print 1 December. 2021; 10: 21-259.

Metlay JP, Waterer GW, Long AC. Diagnosis and treatment of adults with community-acquired pneumonia. Am J Respir Crit. 2019; 200: 45-67.
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Suwarman, & Natapraja, T. K. (2024). Management af a Patient with Guillain-Barré Syndrome Miller Fisher Type and Hospital-Acquired Pneumonia in the Intensive Care Unit : a Case Report. Journal of Society Medicine, 3(11), 353–360. https://doi.org/10.47353/jsocmed.v3i11.177