Guillain-Barré syndrome triggered by influenza vaccination in a recipient of liver transplant on FK506

JS Moon, N Souayah - Liver transplantation, 2006 - journals.lww.com
Guillain-Barré syndrome (GBS) has been rarely reported after liver transplantation and
generally has good outcome. We report a liver transplant patient on FK506 (tacrolimus) who
developed GBS 6 months after liver transplantation. There was no evidence of liver rejection
or active infection. Despite treatment with intravenous immunoglobulin, the patient expired.
GBS occurred despite downregulation of T cells by FK506, suggesting that humoral
dysfunction might be the predominant mechanism of GBS in this report. Liver Transpl 12 …
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