Acute urinary retention as the initial manifestation of Guillain-Barre syndrome

作者：Wu Shih Hao^*; Lynn Jiun Jen; Chan Yi Ling; Chiu Te Fa; Chen Jih Chang; Chang Yu Che

来源：American Journal of Emergency Medicine, 2011, 29(6): 696.e3.

DOI：10.1016/j.ajem.2010.06.013

Guillain-Barre syndrome is a leading cause of acute weakness in young and middle-aged people [1,2], but it can affect patients of all ages. The main features of Guillain-Barre syndrome are ascending limb weakness which is relatively symmetric and progresses rapidly, with or without involvement of respiratory or cranial nerve-innervated muscles. In typical cases, possible initial symptoms include pain, numbness, paraesthesia, or weakness of the limbs [3,4]. Guillain-Barre syndrome also has a significant mortality in the first month [5,6]; however, this condition is often initially misdiagnosed [7], because the initial symptoms are often nonspecific, and many clinical variants may present [8]. Therefore, it is mandatory to maintain a high index of suspicion for this disease so as to prompt early diagnosis and treatment. Herein, we reported a case of Guillain-Barre syndrome who rapidly progressed to respiratory failure with an initial presentation of only acute urinary retention.

• 出版日期2011-7
• 单位长春大学