Crisis averted: a patient in cardiopulmonary arrest
Keywords: myasthenia gravis, respiratory failure, thymoma
AbstractNeuromuscular diseases are rare causes of acute hypercapnic respiratory failure due to respiratory muscle weakness and can be life-threatening if not recognized. We report a case of a 35-year-old man with worsening dyspnea, non-productive cough, and fever presenting in cardiopulmonary arrest requiring intubation and mechanical ventilation. After work-up for neuromuscular disease with a positive acetylcholine receptor antibody test, the source of his respiratory failure was discovered to be myasthenia gravis. He improved with acetylcholinesterase inhibitors, corticosteroids, and plasmapheresis therapy but had a long complicated hospital course. Computed tomography of the chest with intravenous
contrast revealed an anterior mediastinal mass, which was later resected and confirmed to be a thymoma.
Download data is not yet available.
How to Cite
Keeton, J., Klomjit, S., & Bashir, M. (2016). Crisis averted: a patient in cardiopulmonary arrest. The Southwest Respiratory and Critical Care Chronicles, 4(14), 34-36. Retrieved from https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/262
All articles are published under the Creative Commons Attribution-Non-Commercial License https://creativecommons.org/licenses/by-sa/2.0/