Case Report

Guillain-Barré Syndrome due to CMV Reactivation after Cardiac Transplantation

Table 1

Reported cases of cytomegalovirus-associated Guillain-Barré syndrome after cardiac transplantation [19].

Cases (ref)Sex/age/raceTransplant EtiologyCMV status Pre-TX D-REvidence of active CMV infectionTx typeOnset post-TxVentilator SupportIVIgTPEMaximum grade/final grade

Baldwin [20]M/61/NSNSP-NYesOHT4 moNoYesYesG4/G1 (died 13 mo, acute MI)
Baldwin [20]M/62/CRheumaticP-PYesOHT4.5 moNoYesYesG4/G2
El-Sabrout [19]M/62/BDilated CMPP-NYesOHT1 wkYesYesYesG5/G2
StegerM/40/CIschemic CMPN-P YesOHT 6 moYes NoYes(died 27 months after Tx, sudden cardiac death)

B: black; C: Caucasian; CMP: cardiomyopathy; D: donor; IVIg: intravenous immunoglobulin; MI: myocardial infarction; mo: months; N: negative; NS: not specified; OHT: orthotopic heart transplantation; P: positive; TPE: total plasma exchange; Tx: transplantation; wk: week.