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.

Similar Articles

T. Rifki Mirza Alfuadi, Zulfikri Mukhtar, Andika Sitepu, The Relationship between Red Blood Cell Distribution Width and Coronary Artery Lesion Severity In Acute Myocardial Infarction Patients with Non-Elevation of ST-Segment (IMA-NEST) at Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 7 (2024): July
Rachmad Try Hendro, Osmond Muftilov Pison, Management of Acute Respiratory Distress Syndrome Due to Transfusion-Related Acute Lung Injury and Pulmonary Contusion in a Patient with Moderate Head Injury Post-Craniotomy Decompression, Epidural Hematoma, and Posterolateral Rib Fractures 2-6 , Journal of Society Medicine: Vol. 4 No. 7 (2025): July
Aris Darmoko, Nurita Dian Kestriani , Intensive Care Management of Non-Ischemic Dilated Cardiomyopathy with Morbid Obesity in a Parturient Undergoing Cesarean Section , Journal of Society Medicine: Vol. 4 No. 11 (2025): November
Qien Jovan Fatraya, Zainal Safri , Anggia Chairuddin Lubis , The Relationship Between Elevated Systemic Immune-Inflammatory Index (SII) and the Severity of Coronary Lesions in Chronic Coronary Syndrome (CCS) Patients Undergoing Coronary Angiography at Haji Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 4 No. 6 (2025): June
Ira Febri Yani, Irmiya Rachmiyani, Yudhisman Imran, Triasti Khusfiani, Dina Putri Nasution, Emad Yousif, Polycystic Ovary Syndrome (PCOS) as a Risk Factor for Preeclampsia and Cognitive Dysfunction , Journal of Society Medicine: Vol. 5 No. 5 (2026): May
Riris Sibarani, Aida Fitri, Haflin Soraya Hutagalung, Association between Clinical Stage of HIV and Peripheral Sensory Neuropathy , Journal of Society Medicine: Vol. 3 No. 1 (2024): January
Ilham Kurniawan Ritonga, Irina Kemala Nasution, Kiki Muhammad Iqbal, Correlation between Tumor Location and Size in Intracranial Tumor Patients and Seizure Types , Journal of Society Medicine: Vol. 3 No. 7 (2024): July
Rizki Amaliah Damanik, Andika Pradana, Pandiaman Pandia, Analysis of Blood Eosinophil Levels as an Indicator of Controlled Asthma Classification at the University of Sumatra Utara Hospital , Journal of Society Medicine: Vol. 4 No. 3 (2025): March
Amina El-Sayed, Omar Hassan, Youssef Khaled, Early Fluid Resuscitation Volume as an Independent Determinant of Mortality in Sepsis: A Multicenter Real-World ICU Cohort Study , Journal of Society Medicine: Vol. 5 No. 4 (2026): April
Yunika Khairina, Aida Fitri, Fasihah Irfani Fitri, Cognitive Function Characteristics in Patients with Myasthenia Gravis , Journal of Society Medicine: Vol. 2 No. 6 (2023): June

<< < 2 3 4 5 6 7 8 9 10 11 > >>

You may also start an advanced similarity search for this article.

PDF

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.
Share:

Z

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