Hiding Behind a Cough: Guillain-Barré Syndrome Masquerading as Community-Acquired Pneumonia

Abstract

Introduction: Guillain-Barre syndrome (GBS) is the most common form of acute flaccid paralysis in pediatric patients. Classically, an antecedent illness provokes an autoimmune response against the myelin sheath of peripheral nerves, leading to ascending paralysis that can cause respiratory failure. Although associated with significant morbidity and mortality, it is treatable. Here, we present a case of GBS that manifested as respiratory distress and was initially diagnosed as simple community acquired pneumonia (CAP). Case Description: A 16 year old male with a history of Sotos syndrome, stage III CKD, autism spectrum disorder, nonverbal status, seizure …