13 September 2025
: Case report 
Guillain-Barré Syndrome Secondary to Snake Bite: A Report of a Rare and Fatal Case
Unknown etiology, Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease, Clinical situation which can not be reproduced for ethical reasons
Parth Mukeshbhai Dhamelia ABCDEF 1*, Dipak R. Mokariya ABDEF 1, Jaspreet Singh Anand EF 1, Pragyat Futela EF 2, Aleksandra Murawska Baptista EF 3, Abhinav Singla ABCDEF 3DOI: 10.12659/AJCR.948917
Am J Case Rep 2025; 26:e948917
Table 1 Laboratory Investigations during the second admission.
| Investigation | Day 1 | Day 2 | Day 3 |
|---|---|---|---|
| Hb (g/dL) | 10.9 | 10.7 | 11.2 |
| Hct (%) | 34.6 | 34.1 | 33.7 |
| TLC (cells/mm) | 16660 | 20120 | 22100 |
| DLC (N/L/E/B%) | 96/2/2/0 | 94/5/1/0 | 92/7/1/0 |
| Plt (lakh/mm) | 1.27 | 1.44 | 1.2 |
| TB/DB (mg/dL) | 1.8/0.5 | 1.6/0.4 | 1.5/0.8 |
| AST/ALT (u/L) | 96/240 | 62/193 | 43/108 |
| ALP (u/L) | 64 | 101 | 92 |
| BU/Cr (mg/dL) | 59/0.6 | 55/0.4 | 60/1.0 |
| Na/K (mEq/L) | 144/3.6 | 139/4.1 | 142/4.5 |
| Ca/PO4 (mg/dL) | 7.3/2.5 | 7.1/2.4 | 7.6/2.6 |
| LDH (u/L) | 330 | 340 | 392 |
| ProCal (ng/mL) | 1.4 | 2.4 | |
| ProBNP (pg/mL) | 266 | ||
| Hb – hemoglobin; Hct – hematocrit; TLC – total leukocyte count; DLC (N/L/E/M) – differential leukocyte count (neutrophil, lymphocyte, eosinophils, basophils); Plt – platelet; TB – total bilirubin; DB – direct bilirubin; AST – aspartate transaminase; ALT – alanine transaminase; ALP – alkaline phosphatase; BU – bloor urea; Cr – creatinine; Na – sodium; K – potassium; Ca – calcium; PO4 – phosphate; LDH – lactate dehydrogenase; UA – uric acid; ProCal – procalcitonin; ProBNP – pro-brain natriuretic peptide. | |||