Unusual presentation of myasthenia gravis as barium aspiration pneumonitis
| Autor: | Bindu George, Jui Yeshavant Lagoo, Appanerevanda Muthanna Kutappa, Sampa Anupurba |
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| Rok vydání: | 2015 |
| Předmět: |
ARDS
medicine.medical_specialty business.industry chemistry.chemical_element Barium Aspiration Pneumonitis medicine.disease Dysphagia Myasthenia gravis Surgery Barium sulfate chemistry.chemical_compound medicine.anatomical_structure chemistry otorhinolaryngologic diseases Medicine Presentation (obstetrics) medicine.symptom Esophagus business |
| Zdroj: | Karnataka Anaesthesia Journal. 1:89 |
| ISSN: | 2394-6954 |
| DOI: | 10.4103/2394-6954.163091 |
| Popis: | Isolated dysphagia is a rare form of presentation of myasthenia gravis (MG), resulting in discoordinated peristalsis. Accidental aspiration of barium sulfate may occur during radiological examinations of the upper gastrointestinal system using contrast media in conditions affecting the anatomical and functional integrity of the oropharynx and the esophagus. Though inert, barium may result in severe pulmonary inflammatory reaction and acute respiratory distress syndrome (ARDS). Thus, it is important to identify patients at risk of aspiration. Timely consideration of MG during evaluation of dysphagia is crucial to prevent complications and improve the quality of life. Whenever neuromuscular weakness is suspected, videofluroscopic technique for barium swallow needs to be advocated. We, hereby, report an unusual case of MG who presented with dysphagia only and developed fatal barium aspiration pneumonitis. |
| Databáze: | OpenAIRE |
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