155 Makela P, Howe L, Glover S, Ferguson I, Pinto A, Gompels M. Recurrent Guillain-Barré syndrome as a complication of immune reconstitution in HIV. J Infect. 2002;44:47-9.
|
56 / M |
Chronic |
1 month |
Recurrent GBS / Acute acquired demyelinating polyneuropathy with axonal damage |
Paradoxical |
86 / 217.075 |
510 / < 50 |
0 / 139 /Not performed /Negative |
IVIG |
Subsequent relapse, use of corticosteroids, and partial improvement |
266 Piliero PJ, Fish DG, Preston S, et al. Guillain-Barré syndrome associated with immune reconstitution. Clin Infect Dis. 2003;36:e111-4.
|
58 / M |
Chronic |
26 days |
GBS /Mixed axonal and inflammatory demyelinating polyneuropathy* |
Unmasking |
31 / 867.736 |
602 / 2.685 |
4 / 58 /Negative /Not performed |
Plasmapheresis |
Initial stabilization but eventually dead due to hospital pneumonia |
377 Puthanakit T, Oberdorfer P, Akarathum N, Wannarit P, Sirisanthana T, Sirisanthana V. Immune reconstitution syndrome after highly active antiretroviral therapy in human immunodeficiency virus-infected thai children. Pediatr Infect Dis J. 2006;25:53-8.
|
2 / F |
Chronic |
3 weeks |
GBS /Compatible with GBS |
Unmasking |
12 / 5.9 log10
|
26 / 3.5 log10
|
CSF WBC and protein compatible with GBS /Negative /Not available |
Not available |
Total recovery in 4 weeks |
488 Teo EC, Azwra A, Jones RL, Gazzard BG, Nelson M. Guillain-Barré syndrome following immune reconstitution after antiretroviral therapy for primary HIV infection. J HIV Ther. 2007;12:62-3.
|
26 / M |
Early |
6 weeks |
GBS /Demyelination |
Unmasking |
~125 / ~ 200.000 |
~ 150 / Undetectable |
3 / 3 /Not performed / Negative |
IVIG |
Partial improvement and discharged tohome after 1 month of hospitalization |
599 Fantauzzi A, Digiulio MA, Cavallari EN, d’Ettorre G, Vullo V, Mezzaroma I. Guillain Barre syndrome in an HIV-1-infected patient after the beginning of combined antiretroviral therapy: an immune reconstitution inflammatory syndrome? New Microbiol. 2014;37:103-7.
|
36 / M |
Chronic |
2 months |
GBS /Demyelinating polyradiculoneuropathy |
Unmasking |
545 / 212.000 |
517 / 116 |
0 / 97 /Negative /Not performed |
IVIG |
Rapid clinical improvement and complete improvement by 3 months |
61010 Mathukumalli NL, Ali N, Kanikannan MA, Yareeda S. Worsening Guillain- Barré syndrome: harbinger of IRIS in HIV? BMJ Case Rep. 2017;2017:bcr2017221874.
|
38 / M |
Chronic |
5 days |
GBS /Demyelinating sensorimotor polyradiculopathy |
Paradoxical |
90 / 157.000 |
175 / 590 |
Albuminocytological dissociation /Negative /Not available |
IVIG |
Subsequent worsening, use of corticosteroids, and partial improvement by 3 months |
7 Present Case |
34 / M |
Chronic |
12 weeks |
GBS Spectrum (overlapping GBS and EBB) |
Unmasking |
260 / 140.000 |
372 / < 50 |
2 / 109 /Negative / Negative |
IVIG |
Initial mild improvement and later worsening. Vigil coma by 4 years of follow-up. |