Case Report

Guillain-Barré Syndrome with Fatal Outcome during HIV-1-Seroconversion: A Case Report

Table 2

Results of diagnostic investigations during hospitalization.

Laboratory investigations

Bloodalanine-aminotransferase (AST)80 U/L (2 × ULN)
aspartate-aminotransferase (ALT)103 U/L (>2.5 ULN)
Total bilirubin1.8 mg/dL (normal < 1.2)
lactic dehydrogenase (LDH)603 U/L (normal < 460)
HIV-Ab (including RIBA)Positive
CD4+ cell count and %710/mL; 45%
CD8+ cell count and %595/mL; 37%
CD4+/CD8+ ratio1.2
HIV viral load4,400 copies of HIV-RNA/mL
Hepatitis B virus markersHBs-Ab, total HBcAb, and HBeAb: positive
haemochrome, C-reactive protein, blood sugar, uraemia, creatinine, γ-glutamiltranspeptidase, alkaline phosphatase, creatine-phosphokinase, amylase, lipase, triglycerids, ions, protidogram, immunoglobulins (total IgG, IgM, IgA), Hepatitis C Virus-Ab, coagulation tests, complement fractions (C3 and C4), ANA, syphilis tests (TPHA and RPR), and urine analysisNegative or within normal ranges
Cerebrospinal fluidCells3/mL (all mononuclear cells)
Proteins291 mg/dL
Protein analysisBarrier damage with proportional increase in IgG and albumin
HIV viral loadNot detectable
Glucose, oligoclonal IgG bands, culture for bacteria and fungi, and syphilis tests (TPHA and RPR)Negative or within normal ranges