26th August 2024

A 45-year-old man presents to A&E complaining of weakness of his legs which has progressively worsened

A 45-year-old man presents to A&E complaining of weakness of his legs which has progressively worsened over the past 4 days. He presented to the hospital as he is now finding it difficult to walk. On further questioning, he experienced a diarrhoeal illness 4 weeks before, which he attributed to eating chicken cooked on a BBQ. On examination, he has weakness of the muscles of his lower leg bilaterally. You are unable to elicit reflexes. In the past day, he has also noted weakness in his hands and forearms.

What is the most likely diagnosis?

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