A 42-year-old man develops progressive ascending weakness over 3 days following a campylobacter gastroenteritis. Examination shows flaccid weakness in...

Question

A 42-year-old man develops progressive ascending weakness over 3 days following a campylobacter gastroenteritis. Examination shows flaccid weakness in all limbs, areflexia and intact sensation. FVC is 18 mL/kg. What is the most appropriate management?

Accepted Answer

Intravenous immunoglobulin (IVIg) therapy

Answer

Oral prednisolone

Answer

No specific therapy; most cases recover spontaneously

Answer

Oral azathioprine

Answer

Long-term high-dose NSAIDs only

au-amc MCQ (SBA): Guillain-Barré syndrome

A 42-year-old man develops progressive ascending weakness over 3 days following a campylobacter gastroenteritis. Examination shows flaccid weakness in all limbs, areflexia and intact sensation. FVC is 18 mL/kg. What is the most appropriate management?