Resumen

ROMERO TORO, José Antonio; SALAZAR GUTIERREZ, Marifrancy Teresa; MACUARISMA VELASQUEZ, Pedro José  y  MENESES BARRIOS, Ruth Teresa. Asimetric guillain-barre syndrome: post vaccinal acute motor variant in an infant. Arch Venez Puer Ped [online]. 2014, vol.77, n.2, pp.75-78. ISSN 0004-0649.

Guillain-Barre syndrome (GBS) is an autoimmune disease triggered by a viral or bacterial infection. It has also been associated with immunizations and surgeries. It is characterized by a rapidly progressive, self-limited symmetrical or asymmetrical muscle weakness. The diagnosis of GBS is based on clinical and complementary findings that include albumin-cytological dissociation in CSF and changes on electromyography. Clinical case: A three months old male infant began his current illness 3 weeks after receiving immunization schedule (DPT, HiB, HPV, VPO), with fever of 38.5 ° C, followed by loss of muscle strength in left lower limb. Neurological examination: left leg: muscle strength: 0 / V, patellar reflex: 0/II aquilian reflex: I / II, conserved sensitivity. Diagnosis of post-vaccination GBS was raised, special studies are requested and treatment was begun with immunoglobulin G. In this case, an asymmetric presentation is described. Though less common, other cases have been described with markedly asymmetry which does not exclude the diagnosis. This disease was diagnosed in a three months male infant, and according to the literature, the younger the patient is, the more difficult is the diagnosis.

Palabras clave : Guillain-Barre Syndrome; Infant; Flaccid Paralysis; Post-vaccinal; Asymmetry.

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