Acute Motor and Sensory Axonal Neuropathy Variant of Guillain-Barré Syndrome: A Nurse-Led Intensive Care Case Report.
Noor Hasmee, Bhupendra Singh, Hema Joshi
✦ AI-curated · Sources linked
Case in brief
A 40-year-old man presented with acute quadriparesis and respiratory distress after a febrile illness. He was diagnosed with acute motor and sensory axonal neuropathy, complicated by multiple infections including methicillin-resistant Staphylococcus aureus bacteremia and tuberculous pleuritis. Despite initial lack of improvement with intravenous immunoglobulin therapy, the patient underwent plasmapheresis and other supportive measures, leading to neurological recovery and successful weaning from ventilation.
What made this case unusual
The case highlights the challenges of diagnosing and managing acute motor and sensory axonal neuropathy in the context of coexisting tropical infections, which complicated the clinical picture.
Diagnostic / clinical pearl
Clinicians should consider the possibility of acute motor and sensory axonal neuropathy in patients presenting with rapid-onset quadriparesis and autonomic dysfunction, especially in resource-limited settings with potential co-infections.
Why it matters
This case underscores the importance of structured nursing care and interprofessional collaboration in managing complex neurological cases in intensive care, which can significantly impact patient outcomes.