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. 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.
Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 605009, India.
Uttara Swati
US
Anand
Department of General Medicine, Indira Gandhi Medical College, Kathirkamam, Pondicherry 605009, India.
Stalin
0000-0001-5861-5161
S
Viswanathan
Department of Neurology, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 605009, India.
Jayanthi
J
Arulneyam