GBS Syndrome

GBS Syndrome

GBS (Guillain-Barré syndrome) is a ‘rare disease’, with an incidence of 0.1–2 per 100,000 people per year. However, in the past few weeks, there has been a noticeable rise in cases in Pune and surrounding areas. Many affected individuals reported diarrhea or respiratory symptoms (e.g.cough, cold) before the onset of GBS. Such outbreaks are usually linked to bacterial or viral infections. Authorities are actively investigating the outbreak, while neurologists and other doctors are providing treatment to affected patients. We reassure the public that this is a ‘treatable condition’ and urge everyone not to panic.

GBS is a rare but treatable neurological condition in which the immune system attacks the nerves. This may lead to:

  • Weakness in the upper and lower limbs, neck, eyes and face.
  • Tingling or numbness.
  • Difficulty walking, swallowing, or breathing in severe cases. (Sudden and rapid onset of weakness).
  • Blood pressure fluctuations.
  • Arrhythmias.

The onset of the illness is often sudden and can evolve over a period of four weeks. The progression rate varies among patients; some may experience a rapid deterioration, while others may exhibit a slower advancement of symptoms. In severe instances, the condition may require admission to an intensive care unit (ICU) and the provision of ventilatory support.

Treatments

There's no cure for GBS, however timely treatments can speed recovery and reduce the symptoms. Given the autoimmune nature of the disease, its acute phase is typically treated with immunotherapy, such as plasma exchange to remove antibodies from the blood or intravenous immunoglobulin (IVIG). In a few cases patients have to be given other immunomodulators. If muscle weakness persists, patients may need rehabilitation services to strengthen their muscles and restore movement.

‘Campylobacter Jejuni’ infection may occur after consuming contaminated food or water. The infection may lead to diarrhea and abdominal cramps. For some people, an immune response to the bacteria mistakenly targets their nerves, which may cause GBS within 1 to 3 weeks.Other known triggers are infections like other viruses including dengue, chikungunya, COVID virus or bacteria which can cause abnormal immune reactions against nerves.

Symptoms of Campylobacter Infection

Some of the common symptoms of campylobacter infection include:

  • Diarrhea (sometimes bloody)
  • Abdominal pain
  • Fever
  • Nausea or vomiting

If you experience these symptoms, you must consult a doctor and seek medical help promptly.

What you can do to protect yourself

Here are some health precautions to follow to reduce your risk campylobacter infection:

1. Ensure Safe Drinking Water

  • Boil water before drinking.
  • Consume bottled water if unsure about water safety.

2. Maintain Food Hygiene

  • Wash vegetables and fruits thoroughly.
  • Please cook poultry and meat properly (internal temperature should be at least 75°C). - Raw or undercooked food, especially eggs and seafood must be avoided.

3. Personal Hygiene

  • Wash hands with soap and water before meals and after using the toilet. Do not share utensils or food during the outbreak.

4. Prevent Cross-Contamination

  • Keep raw and cooked foods separate.
  • After handling raw meat, sanitize kitchen surfaces and utensils.

When to Seek Medical Help

Do not ignore these unusual symptoms ordelay seeking medical care.See a doctor at the earliest if you notice:

  • Sudden weakness in the legs or arms.
  • Difficulty walking or numbness.
  • Persistent diarrhea, especially if bloody.

Final Recommendations for GBS:

  • Boil water before drinking or preparing food.
  • Eat healthy and hygienic food.
  • Avoid spreading rumours and cooperate with health authorities.

If you or someone you know develops these symptoms, consult a hospital with a Neurologist immediately.