Guillain-Barre syndrome, acute inflammatory demyelinating polyradiculoneuropathy, is acutely or subacutely evolving paralytic disease caused by unestablished etiology. It's antecedent events are upper respiratory infection, unexplained fever,
vomiting,
diarrhea, vaccination, viral and bacterial infection, and surgical procedure, in order of frequency. Mealses infection is known as the rare antecedent event of Guillain-Barre syndrome. The acute axonal form of Guillain-Barre syndrome is
characterized by
rapid progression to severe widespread paralysis and show respiratory dependence within 2~5 days of the onset of weakness with very poor and delayed recovery. But in this presented case, axonal Guillain-Barre syndrome and combined encephalitis
caused by
measles infection, 14 year-old girl showed rapid and good recovery though suffered from severe clinical course. This case illustrates prognostic indicator in adult can't apply to child. So more study about causative agents, classification, and
prognostic indicator is necessary.
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