Pulmonary Edema in Myasthenic Crisis
We report a previously asymptomatic 50-year-old lady who came with myasthenic crisis as initial presentation of myasthenia gravis. She developed pulmonary edema following intravenous immunoglobulin administration and had ischemic changes in ECG and left ventricular dysfunction on echocardiography. S...
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Format: | Article |
Language: | English |
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Wiley
2013-01-01
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Series: | Case Reports in Critical Care |
Online Access: | http://dx.doi.org/10.1155/2013/863620 |
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author | Uttara Swati Anand Stalin Viswanathan Jayanthi Arulneyam |
author_facet | Uttara Swati Anand Stalin Viswanathan Jayanthi Arulneyam |
author_sort | Uttara Swati Anand |
collection | DOAJ |
description | We report a previously asymptomatic 50-year-old lady who came with myasthenic crisis as initial presentation of myasthenia gravis. She developed pulmonary edema following intravenous immunoglobulin administration and had ischemic changes in ECG and left ventricular dysfunction on echocardiography. She improved with diuretics, dobutamine, and fluid restriction alone. This is the first report in English-language medical literature describing the association between myasthenic crisis and likely takotsubo cardiomyopathy-related pulmonary edema following intravenous immunoglobulin administration. |
format | Article |
id | doaj-art-b2695dcfe39542089216963e3e9e1084 |
institution | Kabale University |
issn | 2090-6420 2090-6439 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Critical Care |
spelling | doaj-art-b2695dcfe39542089216963e3e9e10842025-02-03T05:48:22ZengWileyCase Reports in Critical Care2090-64202090-64392013-01-01201310.1155/2013/863620863620Pulmonary Edema in Myasthenic CrisisUttara Swati Anand0Stalin Viswanathan1Jayanthi Arulneyam2Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 605009, IndiaDepartment of General Medicine, Indira Gandhi Medical College, Kathirkamam, Pondicherry 605009, IndiaDepartment of Neurology, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 605009, IndiaWe report a previously asymptomatic 50-year-old lady who came with myasthenic crisis as initial presentation of myasthenia gravis. She developed pulmonary edema following intravenous immunoglobulin administration and had ischemic changes in ECG and left ventricular dysfunction on echocardiography. She improved with diuretics, dobutamine, and fluid restriction alone. This is the first report in English-language medical literature describing the association between myasthenic crisis and likely takotsubo cardiomyopathy-related pulmonary edema following intravenous immunoglobulin administration.http://dx.doi.org/10.1155/2013/863620 |
spellingShingle | Uttara Swati Anand Stalin Viswanathan Jayanthi Arulneyam Pulmonary Edema in Myasthenic Crisis Case Reports in Critical Care |
title | Pulmonary Edema in Myasthenic Crisis |
title_full | Pulmonary Edema in Myasthenic Crisis |
title_fullStr | Pulmonary Edema in Myasthenic Crisis |
title_full_unstemmed | Pulmonary Edema in Myasthenic Crisis |
title_short | Pulmonary Edema in Myasthenic Crisis |
title_sort | pulmonary edema in myasthenic crisis |
url | http://dx.doi.org/10.1155/2013/863620 |
work_keys_str_mv | AT uttaraswatianand pulmonaryedemainmyastheniccrisis AT stalinviswanathan pulmonaryedemainmyastheniccrisis AT jayanthiarulneyam pulmonaryedemainmyastheniccrisis |