Case of Guillain-Barre syndrome following COVID-19 vaccine

被引:58
作者
Hasan, Tanveer [1 ]
Khan, Mustafizur [1 ]
Khan, Farhin [1 ]
Hamza, Ghanim [1 ]
机构
[1] East Kent Hosp Univ NHS Fdn Trust, Canterbury, Kent, England
关键词
COVID-19; immunological products and vaccines; vaccination; immunisation; peripheral nerve disease;
D O I
10.1136/bcr-2021-243629
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Guillain-Barre syndrome (GBS) is a rare immune-mediated disorder of the peripheral nerves. Although its cause is not fully understood, the syndrome often follows infection with a virus or bacteria, although in rare occasions, vaccination may precede GBS. We describe a case of a 62-year-old woman who presented with paraesthesia and progressive weakness of both lower limbs over 3 days. Clinical examination and investigation findings including lumbar puncture and nerve conduction studies were consistent with the diagnosis of GBS. She had no history of either diarrhoea or respiratory tract infections preceding her presentation. However, she had her first intramuscular dose of the Oxford/AstraZeneca COVID-19 vaccine 11 days prior to her presentation. Although no direct link could be ascertained, the purpose of this report is to highlight the incidence and consider this issue while evaluating any case of GBS in the light of the current pandemic and vaccination programme.
引用
收藏
页数:4
相关论文
共 22 条
[11]  
Neustadt R., 1978, SWINE FLU AFFAIR DEC, DOI 10.17226/12660
[12]   Guillain-Barre syndrome following the first dose of the chimpanzee adenovirus-vectored COVID-19 vaccine, ChAdOx1 [J].
Patel, Shreena Umit ;
Khurram, Ruhaid ;
Lakhani, Anjali ;
Quirk, Bernadine .
BMJ CASE REPORTS, 2021, 14 (04)
[13]   Guillain-Barre Syndrome After High-Dose Influenza Vaccine Administration in the United States, 2018-2019 Season [J].
Perez-Vilar, Silvia ;
Hu, Mao ;
Weintraub, Eric ;
Arya, Deepa ;
Lufkin, Bradley ;
Myers, Tanya ;
Woo, Emily Jane ;
Lo, An-Chi ;
Chu, Steve ;
Swarr, Madeline ;
Liao, Jiemin ;
Wernecke, Michael ;
MaCurdy, Tom ;
Kelman, Jeffrey ;
Anderson, Steven ;
Duffy, Jonathan ;
Forshee, Richard A. .
JOURNAL OF INFECTIOUS DISEASES, 2021, 223 (03) :416-425
[14]   Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine [J].
Polack, Fernando P. ;
Thomas, Stephen J. ;
Kitchin, Nicholas ;
Absalon, Judith ;
Gurtman, Alejandra ;
Lockhart, Stephen ;
Perez, John L. ;
Perez Marc, Gonzalo ;
Moreira, Edson D. ;
Zerbini, Cristiano ;
Bailey, Ruth ;
Swanson, Kena A. ;
Roychoudhury, Satrajit ;
Koury, Kenneth ;
Li, Ping ;
Kalina, Warren V. ;
Cooper, David ;
Frenck, Robert W., Jr. ;
Hammitt, Laura L. ;
Tureci, Ozlem ;
Nell, Haylene ;
Schaefer, Axel ;
Unal, Serhat ;
Tresnan, Dina B. ;
Mather, Susan ;
Dormitzer, Philip R. ;
Sahin, Ugur ;
Jansen, Kathrin U. ;
Gruber, William C. .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (27) :2603-2615
[15]  
Rahimi K, 2020, NEUROL SCI, V41, P3149, DOI 10.1007/s10072-020-04693-y
[16]   Safety and immunogenicity of ChAdOx1 nCoV-19 vaccine administered in a prime-boost regimen in young and old adults (COV002): a single-blind, randomised, controlled, phase 2/3 trial [J].
Ramasamy, Maheshi N. ;
Minassian, Angela M. ;
Ewer, Katie J. ;
Flaxman, Amy L. ;
Folegatti, Pedro M. ;
Owens, Daniel R. ;
Voysey, Merryn ;
Aley, Parvinder K. ;
Angus, Brian ;
Babbage, Gavin ;
Belij-Rammerstorfer, Sandra ;
Berry, Lisa ;
Bibi, Sagida ;
Bittaye, Mustapha ;
Cathie, Katrina ;
Chappell, Harry ;
Charlton, Sue ;
Cicconi, Paola ;
Clutterbuck, Elizabeth A. ;
Colin-Jones, Rachel ;
Dold, Christina ;
Emary, Katherine R. W. ;
Fedosyuk, Sofiya ;
Fuskova, Michelle ;
Gbesemete, Diane ;
Green, Catherine ;
Hallis, Bassam ;
Hou, Mimi M. ;
Jenkin, Daniel ;
Joe, Carina C. D. ;
Kelly, Elizabeth J. ;
Kerridge, Simon ;
Lawrie, Alison M. ;
Lelliott, Alice ;
Lwin, May N. ;
Makinson, Rebecca ;
Marchevsky, Natalie G. ;
Mujadidi, Yama ;
Munro, Alasdair P. S. ;
Pacurar, Mihaela ;
Plested, Emma ;
Rand, Jade ;
Rawlinson, Thomas ;
Rhead, Sarah ;
Robinson, Hannah ;
Ritchie, Adam J. ;
Ross-Russell, Amy L. ;
Saich, Stephen ;
Singh, Nisha ;
Smith, Catherine C. .
LANCET, 2020, 396 (10267) :1979-1993
[17]   Association between Guillain-Barre syndrome and influenza A (H1N1) 2009 monovalent inactivated vaccines in the USA: a meta-analysis [J].
Salmon, Daniel A. ;
Proschan, Michael ;
Forshee, Richard ;
Gargiullo, Paul ;
Bleser, William ;
Burwen, Dale R. ;
Cunningham, Francesca ;
Garman, Patrick ;
Greene, Sharon K. ;
Lee, Grace M. ;
Vellozzi, Claudia ;
Yih, W. Katherine ;
Gellin, Bruce ;
Lurie, Nicole .
LANCET, 2013, 381 (9876) :1461-1468
[18]   Guillain Barre syndrome associated with COVID-19 infection: A case report [J].
Sedaghat, Zahra ;
Karimi, Narges .
JOURNAL OF CLINICAL NEUROSCIENCE, 2020, 76 :233-235
[19]   The Risk of Guillain-Barre Syndrome Associated with Influenza A (H1N1) 2009 Monovalent Vaccine and 2009-2010 Seasonal Influenza Vaccines: Results from Self-Controlled Analyses [J].
Tokars, Jerome I. ;
Lewis, Paige ;
DeStefano, Frank ;
Wise, Matthew ;
Viray, Melissa ;
Morgan, Oliver ;
Gargiullo, Paul ;
Vellozzi, Claudia .
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 2012, 21 (05) :546-552
[20]   Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK [J].
Voysey, Merryn ;
Clemens, Sue Ann Costa ;
Madhi, Shabir A. ;
Weckx, Lily Y. ;
Folegatti, Pedro M. ;
Aley, Parvinder K. ;
Angus, Brian ;
Baillie, Vicky L. ;
Barnabas, Shaun L. ;
Bhorat, Qasim E. ;
Bibi, Sagida ;
Briner, Carmen ;
Cicconi, Paola ;
Collins, Andrea M. ;
Colin-Jones, Rachel ;
Cutland, Clare L. ;
Darton, Thomas C. ;
Dheda, Keertan ;
Duncan, Christopher J. A. ;
Emary, Katherine R. W. ;
Ewer, Katie J. ;
Fairlie, Lee ;
Faust, Saul N. ;
Feng, Shuo ;
Ferreira, Daniela M. ;
Finn, Adam ;
Goodman, Anna L. ;
Green, Catherine M. ;
Green, Christopher A. ;
Heath, Paul T. ;
Hill, Catherine ;
Hill, Helen ;
Hirsch, Ian ;
Hodgson, Susanne H. C. ;
Izu, Alane ;
Jackson, Susan ;
Jenkin, Daniel ;
Joe, Carina C. D. ;
Kerridge, Simon ;
Koen, Anthonet ;
Kwatra, Gaurav ;
Lazarus, Rajeka ;
Lawrie, Alison M. ;
Lelliott, Alice ;
Libri, Vincenzo ;
Lillie, Patrick J. ;
Mallory, Raburn ;
Mendes, Ana V. A. ;
Milan, Eveline P. ;
Minassian, Angela M. .
LANCET, 2021, 397 (10269) :99-111