Madam Editor:
Heatstroke (HS) is a medical emergency characterized by a body temperature above 40ºC and the development of neurological alterations such as delirium, seizures, or coma. HS may result from excessive exposure to environmental heat (classic HS) or from strenuous physical exertion.¹ Several factors have been identified that increase susceptibility to HS, including extreme ages of life, medical comorbidities (infections, fever, skin disorders, or cardiovascular insufficiency), the use of certain medications (diuretics, beta-blockers, antihistamines, and antidepressants), or alcohol consumption.
Guillaín-Barré síndrome
Síndrome de Guillain-Barré como Complicación del Golpe de Calor. Guillain-Barré Syndrome As A Complication Of Heatstroke
Keywords: Guillaín-Barré síndrome,
heatstroke,
Dolor en Síndrome de Guillain Barré: Una Manifestación Subestimada. Pain In Guillain Barré Syndrome: An Underestimated Manifestation.
Guillain-Barré syndrome is an acute demyelinating polyneuropathy that presents clinically with muscular weakness and autonomic disorders in its typical form, while the sensory symptoms usually go unnoticed.
We describe the clinical history of a male patient with acute flaccid quadriparesis and sensory disorders such as paresthesia and allodynia that hinder diagnosis within the initial approach.
Complete diagnostic work up confirmed the presence of Guillain-Barré syndrome. Although the sensory symptoms confused the diagnosis during admission, it is important to highlight that pain is a frequent manifestation of this disorder, being underestimated in many patients.
