Document Detail


Guillain-Barré syndrome presenting as mimicking croup.
MedLine Citation:
PMID:  20637403     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Stridor is a commonly encountered presenting symptom of upper airway obstruction in the pediatric population. Although infection etiologies such as croup, retropharyngeal abscess, and epiglottitis predominate in the pediatric population, other less common etiologies must also be considered in the differential diagnosis. We report a case of 3-year-2-month-old girl who exhibited the following symptoms: progressive hoarseness, backing cough, and dyspnea. Initial clinical symptoms were mimicking croup. After admission, she developed progressive muscle weakness and areflexia. Flexible laryngoscopy showed bilateral vocal cord paralysis. Finally, she was diagnosed with Guillain-Barré syndrome (GBS). We emphasized that the early recognition of atypical presentations of GBS warrants further evaluation and appropriate management.
Authors:
Shao-Hsuan Hsia; Jainn-Jim Lin; Chang-Teng Wu; I-Anne Huang; Kuang-Lin Lin
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-25
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  28     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  749.e1-3     Citation Subset:  IM    
Affiliation:
Divisions of Pediatric Critical Care and Emergency Medicine,Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 333, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Croup / diagnosis*
Diagnosis, Differential
Female
Guillain-Barre Syndrome / complications,  diagnosis*,  therapy
Humans

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