DAVID A. LEAF, M.D.; IAN MACDONALD, M.D.; BERNARD KLIKS, M.D.; REED WILSON, M.D.; STEPHEN R. JONES, M.D.
To the editor: The Guillain-Barré syndrome has been associated with infection, vaccination, malignancy, surgery, and pregnancy and has recently been reported in two patients who had received streptokinase (1, 2). We report the case of a third such patient.
A 65-year-old man was awakened from sleep by acute chest pain. He had a history of coronary artery disease, and because of electrocardiographic changes, he was believed to have a developing acute inferior myocardial infarction. Immediate angiographic examination showed an occluded right coronary artery that failed to open after intra-coronary infusion of 80 000 units of streptokinase. Over the next 2
LEAF DA, MACDONALD I, KLIKS B, WILSON R, JONES SR. Streptokinase and the Guillain-Barré Syndrome. Ann Intern Med. ;100:617. doi: 10.7326/0003-4819-100-4-617_2
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Published: Ann Intern Med. 1984;100(4):617.
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