Table 1.
Patient‐age/sex | Month | Antecedent illness | Recent vaccination | Antibodies | Clinical features | Mech vent | Treatment |
---|---|---|---|---|---|---|---|
1‐48/M | Feb | Flu | No |
GD1a: 132 GD1b: 109 GQ1b: 238 |
Ascending Weakness, Mild Dysphagia, Mild Dysarthria, No Respiratory Difficulty EOM normal |
No | IVIG |
2‐60/M | Mar | Unknown | No |
AsialoGM1: 322 GD1b: 306 |
Ascending Weakness, No Dysphagia, No Dysarthria, No Respiratory Difficulty EOM normal |
No | IVIG |
3‐53/M | Mar | No | No |
GM1: 53 GQ1b: 60 |
Ascending Weakness, Bulbar Weakness, Respiratory Failure Some Ophthalmoplegia |
Yes | Plasma Exchange, then IVIG |
4‐49/M | Apr | Diarrhea | No |
GD1a: 529 GD1b: 168 |
Ascending Weakness, No Dysphagia, No Dysarthria, No Respiratory Difficulty EOM normal |
No | IVIG |
5‐24/M | Apr | Diarrhea & URI | Flu shot 6 wk prior | GD1a: 127 |
Ascending Weakness, No Dysphagia, EOM normal |
No | IVIG |
6‐45/M | May | No | No |
AsialoGM1: 496, GM1: 468, GD1b: 803 |
Ascending Weakness, Bulbar Weakness, Respiratory Failure, Some ophthalmoplegia |
Yes | Plasma Exchange, then IVIG |
7‐65/M | Jun | No | No |
GM1: 93 GD1b: 164 |
Ascending Weakness, Mild Dysphagia, Mild Dysarthria, No Respiratory Difficulty, EOM normal |
No | Plasma Exchange |
8‐45/F | Jul | No | No |
GM1: 67 GM2: 62 |
Ascending Weakness, No Dysphagia, No Dysarthria, No Respiratory Difficulty, EOM normal |
No | IVIG |
9‐32/F | Jul | No | No | GM2: 65 |
Ascending Weakness, Bulbar Weakness, Respiratory Failure, Ophthalmoplegia |
Yes | Plasma Exchange, then IVIG |
Summary of GBS cases seen at Adventist Health White Memorial (AHWM) and California Hospital Medical Center (CHMC) in 2015. Details of each case are detailed, including month of illness, presence of antecedent illness, recent vaccinations, ganglioside antibody panel, clinical features of illness, need for mechanical ventilation, and treatment received.