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Guillain - barrel syndrome-sequelae in COVID-19 positive children.

Hardik Shah

Introduction: Guillain-Barrel Syndrome is an important cause of severe, acute weakness in children. Acute Inflammatory Demyelinating Polyradiculoneuropathy (AIDP) is the most common subtype. History of past infection was noticed in the majority of cases. In Wuhan China in late 2019, severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) originated and rapidly spread around the world. Case: We had 12 years old male child who was admitted with history sudden onset of lower limb weakness. He had history of contact with COVID-19 patient. Clinical and Laboratory finding suggesting of Guillain-Barré Syndrome. Discussion: This case is the first reported case of a child with GBS with past history acute SARS-CoV2 infection one month back in our set up. GBS in a child has been reported associated with other forms of corona virus. The patient came with obvious symptomatology of GBS with symmetric ascending weakness with loss of reflexes. Conclusion: The relation between COVID-19 and GBS was demonstrated previously in case reports of adults with a different variety of GBS, like demyelinating, axonal, and Miller-Fisher in connection with COVID-19. Typical post infectious presentations have been seen in our report after one month.