A construction worker in his 30s presented three times in 4 days with progressive upper and then lower limb weakness . On the first two occasions he had no systemic symptoms, but on the third presentation he had fever and cough, starting from day 4 of weakness . Examination identified weakness in all four limbs and areflexia, suggesting a peripheral neuromuscular disorder . Investigations were consistent with Guillain-Barré syndrome and additional COVID-19 (SARS-CoV-2) infection . The patient improved after immunoglobulin treatment . At least four cases of Guillain-Barré syndrome have been reported in the literature with concurrent COVID-19 illness in whom respiratory signs appeared a few days after the onset of neurological signs . With the incubation period for COVID-19 respiratory symptoms believed to be up to 14 days, it is possible that neurological symptoms could develop before respiratory and other symptoms . During the current pandemic, presence of concurrent COVID-19 infection needs to be considered in patients presenting with Guillain-Barré syndrome.