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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Main Authors: Uttara Swati Anand, Stalin Viswanathan, Jayanthi Arulneyam
Format: Article
Language:English
Published: Wiley 2013-01-01
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.
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institution Kabale University
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publishDate 2013-01-01
publisher Wiley
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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