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/race | Transplant Etiology | CMV status Pre-TX D-R | Evidence of active CMV infection | Tx type | Onset post-Tx | Ventilator Support | IVIg | TPE | Maximum grade/final grade |
| Baldwin [20] | M/61/NS | NS | P-N | Yes | OHT | 4 mo | No | Yes | Yes | G4/G1 (died 13 mo, acute MI) | Baldwin [20] | M/62/C | Rheumatic | P-P | Yes | OHT | 4.5 mo | No | Yes | Yes | G4/G2 | El-Sabrout [19] | M/62/B | Dilated CMP | P-N | Yes | OHT | 1 wk | Yes | Yes | Yes | G5/G2 | Steger | M/40/C | Ischemic CMP | N-P | Yes | OHT | 6 mo | Yes | No | Yes | (died 27 months after Tx, sudden cardiac death) |
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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.
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