A 24 year old man comes to the emergency department because of progressive weakness for 3 days. One week ago he had watery diarrhea after eating undercooked poultry. He now has difficulty climbing stairs and rising from a chair. Examination shows symmetric weakness in both legs greater than arms and absent deep tendon reflexes. Which of the following is the most likely diagnosis?
- A)Myasthenia gravis
- B)Multiple sclerosis
- C)Guillain Barre syndromeGABARITO
- D)Lambert Eaton syndrome
- E)Amyotrophic lateral sclerosis
Explicação
Guillain Barre syndrome is correct. This acute inflammatory demyelinating polyradiculoneuropathy often follows Campylobacter jejuni infection and causes ascending symmetric weakness with areflexia. Respiratory compromise and autonomic instability are important... Ver explicação completa e trilha adaptativa →