{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:26:37Z","timestamp":1789997197196,"version":"4.0.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Guillain\u2013Barre syndrome is an acquired inflammatory polyradiculoneuropathy that often follows gastrointestinal infection. A review of available literature revealed only few cases where Guillain\u2013Barre syndrome developed after different types of meningitis. Furthermore, there are isolated cases of Guillain\u2013Barre syndrome combined with meningeal irritation. This is the first reported case of Guillain\u2013Barre syndrome and bacterial meningitis occurring simultaneously as complications of community-acquired pneumonia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>We report the case of a 77-year-old Ukrainian male patient who presented to the hospital with clinical symptoms of pneumonia. Over the next day, he developed clinical symptoms of acute symmetric ascending flaccid tetraparesis. A few days later, synkinesis-like movements appeared in the paralyzed lower limbs. Microbiological studies of the cerebrospinal fluid identified antibiotic-sensitive <jats:italic>Staphylococcus aureus<\/jats:italic>. The patient received treatment with intravenous immunoglobulin and combination antibacterial therapy. The patient was discharged with improvement.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>In this case, a potentially life-threatening condition, such as bacterial meningitis, was asymptomatic and clinically unrecognized. It is important to recognize atypical cases of Guillain\u2013Barre syndrome to achieve early diagnosis and treatment.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s13256-025-05176-4","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T02:32:36Z","timestamp":1747017156000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Simultaneous development of Guillain\u2013Barre syndrome and bacterial meningitis as complications of pneumonia caused by Staphylococcus aureus: a case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Yuliia","family":"Solodovnikova","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5359-9406","authenticated-orcid":false,"given":"Anastasiia","family":"Revurko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svitlana","family":"Oliinyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anatoliy","family":"Son","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"5176_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(21)00517-1","author":"N Shahrizaila","year":"2021","unstructured":"Shahrizaila N, Lehmann HC, Kuwabara S. Guillain\u2013Barr\u00e9 syndrome. Lancet. 2021. https:\/\/doi.org\/10.1016\/s0140-6736(21)00517-1.","journal-title":"Lancet"},{"key":"5176_CR2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16073","author":"PA Van Doorn","year":"2023","unstructured":"Van Doorn PA, Van den Bergh PYK, Hadden RDM, et\u00a0al. European Academy of Neurology\/Peripheral Nerve Society Guideline on diagnosis and treatment of Guillain\u2013Barr\u00e9 syndrome. Eur J Neurol. 2023. https:\/\/doi.org\/10.1111\/ene.16073.","journal-title":"Eur J Neurol"},{"key":"5176_CR3","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taaa143","author":"C Gokalp","year":"2020","unstructured":"Gokalp C, Yildiz C, Tunc B, Kurultak I, et\u00a0al. Guillain\u2013Barre syndrome variant as a rare complication of leptospirosis. J Travel Med. 2020. https:\/\/doi.org\/10.1093\/jtm\/taaa143.","journal-title":"J Travel Med"},{"key":"5176_CR4","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-018-1211-4","author":"L Ding","year":"2018","unstructured":"Ding L, Chen Z, Sun Y, et\u00a0al. Guillain\u2013Barr\u00e9 syndrome following bacterial meningitis: a case report and literature review. BMC Neurol. 2018. https:\/\/doi.org\/10.1186\/s12883-018-1211-4.","journal-title":"BMC Neurol"},{"key":"5176_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-019-0661-1","author":"J Korol Wright","year":"2019","unstructured":"Korol Wright J, Castellani L, Lecce C, et\u00a0al. Zika virus-associated aseptic meningitis and Guillain\u2013Barre syndrome in a traveler returning from Latin America: a case report and mini-review. Curr Infect Dis Rep. 2019. https:\/\/doi.org\/10.1007\/s11908-019-0661-1.","journal-title":"Curr Infect Dis Rep"},{"key":"5176_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijtb.2019.12.002","author":"D Nishanth","year":"2020","unstructured":"Nishanth D, Rahul K, Ashok K, et\u00a0al. Tuberculous meningitis: an unlikely cause of Guillain\u2013Barre syndrome. Indian J Tuberc. 2020. https:\/\/doi.org\/10.1016\/j.ijtb.2019.12.002.","journal-title":"Indian J Tuberc"},{"key":"5176_CR7","doi-asserted-by":"publisher","DOI":"10.1093\/omcr\/omac033","author":"D Khangarot","year":"2022","unstructured":"Khangarot D, Panegyres PK. Guillain\u2013Barre syndrome complicating Neisseria meningitidis infection. Oxf Med Case Rep. 2022. https:\/\/doi.org\/10.1093\/omcr\/omac033.","journal-title":"Oxf Med Case Rep"},{"issue":"31","key":"5176_CR8","first-page":"1509","volume":"145","author":"EC Kaal","year":"2001","unstructured":"Kaal EC, Braun KP, Mauser HW. An infant with pain and meningeal irritation due to Guillain\u2013Barre syndrome. Ned Tijdschr Geneeskd. 2001;145(31):1509\u201311.","journal-title":"Ned Tijdschr Geneeskd"},{"key":"5176_CR9","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2015.06.001","author":"Y Ashikari","year":"2016","unstructured":"Ashikari Y, Kobayashi S, Tago A, et\u00a0al. A case of Guillain\u2013Barr\u00e9 syndrome with meningeal irritation. Brain Dev. 2016. https:\/\/doi.org\/10.1016\/j.braindev.2015.06.001.","journal-title":"Brain Dev"},{"key":"5176_CR10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1750790","author":"K Singh","year":"2023","unstructured":"Singh K, Lohiya S, Chaudhary R, et\u00a0al. A rare case of Guillain-Barr\u00e9 syndrome with signs of meningeal irritation and treatment-related fluctuations\/relapse. J Pediatr Neurol. 2023. https:\/\/doi.org\/10.1055\/s-0042-1750790.","journal-title":"J Pediatr Neurol"},{"key":"5176_CR11","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.349608","author":"RM Surve","year":"2022","unstructured":"Surve RM, Das BP, Venkateswaran P, et\u00a0al. Community acquired staphylococcus aureus necrotizing pneumonia and Guillain Barre syndrome: an unusual presentation in an adolescent patient. Neurol India. 2022. https:\/\/doi.org\/10.4103\/0028-3886.349608.","journal-title":"Neurol India"},{"key":"5176_CR12","unstructured":"Nguyen TP, Taylor RS. Guillain\u2012Barre Syndrome. StatPearls. Treasure Island (FL). 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK532254\/."},{"key":"5176_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-6-49","author":"M Pedersen","year":"2006","unstructured":"Pedersen M, Benfield TL, Skinhoej P, et\u00a0al. Haematogenous Staphylococcus aureus meningitis. A 10-year nationwide study of 96 consecutive cases. BMC Infect Dis. 2006. https:\/\/doi.org\/10.1186\/1471-2334-6-49.","journal-title":"BMC Infect Dis"},{"key":"5176_CR14","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1693005","author":"E Malek","year":"2019","unstructured":"Malek E, Salameh J. Guillain\u2013Barre syndrome. Semin Neurol. 2019. https:\/\/doi.org\/10.1055\/s-0039-1693005.","journal-title":"Semin Neurol"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-025-05176-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-025-05176-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-025-05176-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T15:04:33Z","timestamp":1747062273000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-025-05176-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,12]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["5176"],"URL":"https:\/\/doi.org\/10.1186\/s13256-025-05176-4","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,12]]},"assertion":[{"value":"2 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics approval was not required because the included data were from an approved hospital database.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"217"}}