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Life Threatening? No
Write-up: Guillain-Barre Syndrome. Within 24 hours of receiving HPV shot, patient experienced headache and extreme fatigue and weakness. Muscle weakness began in legs and progressed to arms, head and neck. Tingling in hands and feet. Intense muscle pain in thighs, hips, and arms. By ninth day, patient''s facial muscles were drooping, experiencing rapid heartbeat and dragging right foot when trying to walk. By end of week 2 muscle function had returned and patient was recovering. Extreme fatigue still remains. 7/10/07-records received-Seen in PCP office with 3 day C/O fatigue and bilateral leg pain. Tingling sensation in feet when she stands. Walks normally. Headache comes and goes. No numbness or tingling in hands. PE: sensation intact on both feet. Assessment:fatigue, leg pain and numbness in feet. At mom''s request referred to neurologist for evaluation of Gullain Barre syndrome. 8/21/07-records received from facility for DOS 7/25-7/26/07 DC DX: Guillain-Barre syndrome. Symptoms began approximately 5 weeks ago after receiving 3rd HPV vaccine. Began to experience generalized fatigue. Progressed to numbness and tingling sensations at tips of fingers and toes and progressed proximally. Low back pain and hip pain. Symptoms after 2 weeks began to improve and she went on a trip. Returned with profound fatigue and worsening paresthesias on her feet. Treated with IVIG. 2/26/08-After follow up with the patient''s neurologist, the condition was found to not be GBS.
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