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

ArticleinThe American journal of emergency medicine 29(6):696.e3-4 · July 2011with34 Reads
Impact Factor: 1.27 · DOI: 10.1016/j.ajem.2010.06.013 · Source: PubMed

    Abstract

    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.