1/3. guillain-barre syndrome associated with acute neurobrucellosis.We report the case of a 14-year-old girl with guillain-barre syndrome associated with brucellosis due to brucella melitensis. The diagnosis was established by the isolation of B. melitensis from her blood and by the determination of high levels of Brucella aglutinins in her sera and cerebrospinal fluid. A combination of rifampin, co-trimoxazole and physical therapy resulted in complete healing within 30 days. Antibrucellar treatment continued for 12 weeks. This case report suggests that brucellosis should be kept in mind in the aetiology of guillain-barre syndrome in the endemic areas for brucellosis, and bacteriological and serological tests for brucellosis should be performed.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/3. Severe interscapular pain and increased creatine kinase activity: the answer was in the ankles.Severe thoracic back pain with increased creatine kinase activity is a clinical presentation that suggests a variety of life threatening conditions. If initial examination is unrevealing, multiple diagnostic tests are usually performed attempting to identify the origin of the problem, sometimes neglecting apparently unrelated subtle physical findings. A patient is described in whom this was the initial presentation of a sensory demyelinating neuropathy, resulting in a diagnostic challenge. This case expands the differential diagnosis of severe thoracic back pain and increased creatine kinase activity, and illustrates the importance of physical examination in reaching a final diagnosis.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
3/3. Treatment and nursing care for a patient with guillain-barre syndrome.The care of a patient with guillain-barre syndrome is challenging for the healthcare team. By incorporating both physical and psychological care in a patient with guillain-barre syndrome, the critical care nurse can adapt to the changing plan of care that accompanies this diagnosis. Because the disease normally starts with a motor weakness and ends with the patient requiring months or even years of rehabilitation, the patient should be prepared for this extended period of treatment. It is only by collaboration of the entire healthcare team that such tasks as diagnosis, treatment, therapy, and pharmaceutical interventions are performed in such a way to help the patient regain a previous level of independence.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |