A 27-year-old man presents with progressive paresthesias in his feet 1 week after acute gastroenteritis with Campylobacter jejuni. He now has symmetric ascending leg weakness and bilateral facial weakness. Vital signs: BP 118/76, HR 92, RR 18, Temp 37.2°C. Neurologic exam reveals absent patellar and ankle reflexes; no sensory level is appreciated. CSF analysis shows elevated protein (72 mg/dL) with normal glucose and cell count. Which of the following is the most likely diagnosis?
- A)Amyotrophic lateral sclerosis
- B)Guillain Barré syndromeGABARITO
- C)Botulism
- D)Chronic inflammatory demyelinating polyneuropathy
- E)Myasthenia gravis
Explicação
Acute ascending weakness with areflexia following an infection is classic for Guillain Barré syndrome. The disorder is usually an acute inflammatory demyelinating polyradiculoneuropathy triggered by immune cross reactivity after infections such as Campylobacte... Ver explicação completa e trilha adaptativa →