Myasthenia Revealed Following Laparotomy - A Case Report
| Autor: | J. Tadili, Abdellah Tazi, Ali Kettani, Mamoun Faroudy, Abdelilah Ghannan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Neuromuscular disease medicine.medical_treatment lcsh:Medicine lcsh:RS1-441 anesthesia neuromuscular disease ventilatory weaning lcsh:Pharmacy and materia medica medicine Mechanical ventilation business.industry postoperative respiratory complications lcsh:R Muscle weakness Perioperative medicine.disease Myasthenia gravis Surgery Neostigmine myasthenia Pneumonia Respiratory failure Anesthesia medicine.symptom business medicine.drug |
| Zdroj: | International Journal of Medicine and Surgery, Vol 2, Iss 1, Pp 23-25 (2015) |
| ISSN: | 2336-0313 |
| Popis: | Myasthenia (muscle weakness) is a rare neuromuscular disease of which respiratory failure is the main complication. The accidental discovery of such disease in the perioperative period is rare and potentially serious. We report a case of a woman who underwent emergency operation for appendiceal peritonitis, and failed repeatedly at weaning from postoperative mechanical ventilation. The usual etiologies such as postoperative respiratory complications, ventilator-associated pneumonia, acute respiratory distress syndrome complicating the septic shock or having no impact on it, and neuromyopathy’s resuscitation were considered, researched, examined or eliminated. Faced with the diagnostic impasse and the obvious weaning failure, another interview revealed signs of muscle fatigue which led to the diagnosis of myasthenia gravis decompensated perioperatively. Once the diagnosis was confirmed by means of a neostigmine test, the specific treatment began, particularly through plasma exchange sessions, and the process of weaning resumed. The result was complete weaning. A three-month follow-up showed a stable patient with no significant muscular disability. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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