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Intern Med ; 59(17): 2187-2189, 2020 Sep 01.
Article in English | MEDLINE | ID: covidwho-665888

ABSTRACT

A 69-year-old man was admitted to our hospital under diagnosis of pneumonia due to severe acute respiratory syndrome-corona virus 2 (SARS-CoV-2) (Day 0). He underwent endotracheal intubation from Day 3. Although his respiratory condition improved and anesthetic drugs were discontinued, no cough reflex was observed despite intubation having been performed until Day 17. His tendon reflexes were also diminished. We suspected that he had developed Guillain-Barré syndrome (GBS), and administered intravenous immunoglobulin from Day 18. The absence of cough reflex improved and extubation was successfully performed on Day 23. Neurological disorders including GBS should be considered when intubated SARS-CoV-2 patients present with a loss of cough reflex during the treatment period.


Subject(s)
Coronavirus Infections/epidemiology , Guillain-Barre Syndrome/diagnosis , Pneumonia, Viral/epidemiology , Aged , Betacoronavirus , COVID-19 , Coronavirus Infections/complications , Guillain-Barre Syndrome/complications , Guillain-Barre Syndrome/drug therapy , Humans , Immunoglobulins, Intravenous/therapeutic use , Male , Pandemics , Pneumonia, Viral/complications , SARS-CoV-2 , Severe Acute Respiratory Syndrome/etiology , Severe Acute Respiratory Syndrome/therapy
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