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A 37-year-old woman was admitted in a comatose state, after exhibiting fever and diarrhea. Diabetic ketoacidosis was diagnosed due to an increased blood glucose level (672 mg/dl), metabolic acidosis, and positive urinary ketone bodies. On the fifth hospital day, despite recovery from the critical state of ketoacidosis, the patient suffered from dysphagia, hypesthesia and motor weakness, followed by respiratory failure. Cerebrospinal fluid analysis was suggestive of Guillain-Barre syndrome (GBS). Autonomic dysfunction was manifested as tachycardia and mild hypertension in the acute stage. Marked orthostatic hypotension persisted long after paresis was improved, indicating an atypical clinical course of GBS.
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
January 2011,
Internal medicine (Tokyo, Japan),
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
November 1981,
Journal of neurology, neurosurgery, and psychiatry,
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
June 1971,
The American journal of medicine,
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
January 2013,
Journal of cardiovascular and thoracic research,
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
May 2012,
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S Fujiwara, and
H Oshika, and
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I Nishio
January 2013,
Journal of cardiovascular and thoracic research,
S Fujiwara, and
H Oshika, and
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K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
April 1982,
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S Fujiwara, and
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M Shinozaki, and
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I Nishio
May 2007,
Journal of neurology,
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
January 1982,
British medical journal (Clinical research ed.),
S Fujiwara, and
H Oshika, and
K Motoki, and
K Kubo, and
Y Ryujin, and
M Shinozaki, and
T Hano, and
I Nishio
January 2013,
Journal of cardiovascular and thoracic research,
