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An uncommon cause of lower limb weakness

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We describe a case of a severely mentally disabled patient diagnosed as suffering from Guillain-Barré syndrome and treated with repeated plasma exchange. However, the abrupt onset of a cardiovascular collapse prompted a more in-depth diagnostic workup which demonstrated that the neurologic symptoms were likely to be ascribed to poisoning with heavy metals from a large number of ingested coins and other metallic items.

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Received: 12 October 1999 Accepted: 19 October 1999

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Berlot, G., Viviani, M. & Bussani, R. An uncommon cause of lower limb weakness. Intensive Care Med 26, 128–130 (2000).

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