Prolonged muscle weakness following emergency tonsillectomy in a patient with familial periodic paralysis and infectious mononucleosis.
A thirteen-year-old girl with normokalaemic familial periodic paralysis (FPP) suffered life threatening upper airway obstruction secondary to tonsillopharyngitis resulting from infectious mononucleosis (IM). Emergency tonsillectomy was performed, but her postoperative course was complicated by persistent muscle weakness requiring a very prolonged period of artificial ventilation.
Bunting
H E
HE
Department of Anaesthetics, Royal Group of Hospitals Trust, Belfast, Northern Ireland, UK.
Allen
R W
RW
D000293:Adolescent; D004630:Emergencies; D005260:Female; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications / Q000601:surgery*; D018908:Muscle Weakness / Q000209:etiology*; D010245:Paralyses, Familial Periodic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D011183:Postoperative Complications; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D014068:Tonsillectomy