Akut Solunum Yetmezli�inin Nadir Bir Nedeni: Myastenik Kriz

�akmak, Mehmet Erdem; Er, Samet; Ademo�lu, Derya; Dal, Hayriye Cankar; Sar�, Sema; Tezcan, B��ra; Kazanc�, Dilek; Turan, Sema

Cilt : 11 Say� : 1 Y�l : 2022

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Akut Solunum Yetmezli�inin Nadir Bir Nedeni: Myastenik Kriz [Respir Case Rep]

Respir Case Rep. 2018; 7(1): 47-49 | DOI: 10.5505/respircase.2018.65902

Akut Solunum Yetmezli�inin Nadir Bir Nedeni: Myastenik Kriz

Mehmet Erdem �akmak¹, Samet Er², Derya Ademo�lu¹, Hayriye Cankar Dal¹, Sema Sar�¹, B��ra Tezcan¹, Dilek Kazanc�¹, Sema Turan¹
¹T�rkiye Y�ksek �htisas Hastanesi, Yo�un Bak�m Anabilim Dal�, Ankara
²Ankara Numune E�itim ve Ara�t�rma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dal�, Ankara

Miyastenia gravis, iskelet kaslar�nda g��s�zl�k ve �abuk yorulma ile karakterize bir kas hastal��d�r. Miyastenik hastalarda �e�itli nedenlerle miyastenik kriz geli�ebilir. Bu olgu sunumunda solunum s�k�nt�s� ile acil servise ba�vuran ve yo�un bak�m yat�� gerektiren miyastenik krizli bir hasta ele al�nm��t�r. �zge�mi�inde, diabestes mellitus, hipertansiyon, koroner arter bypass grefti operasyonu ve miyastenia gravis nedeniyle timektomi �yk�s� vard�. Hasta yo�un bak�mda mekanik ventilat�r deste�inde izleme al�nd�. Hastada myastenik krize ba�l� akut solunum yetmezli�i d��n�ld�. Pridostigmin 120 mg 3x1 olarak ve 1 mg/kg/g�n prednizolon ba�land�. �ntraven�z imm�n glob�lin (IVIG) 2 gr/kg dozunda 5 g�n s�reyle verilmesi planland�. Yo�un bak�m yat��n�n 3. g�n�nde mekanik ventilat�rden ayr�ld�. Akut solunum yetmezli�inin nadir bir nedeni olarak miyastenik krizli bu olguyu sunmay� ama�lad�k.

Anahtar Kelimeler: Akut solunum yetmezli�i, miyastenia gravis, miyastenik kriz

A Rare Cause of Acute Respiratory Failure: Myasthenic Crisis

Mehmet Erdem �akmak¹, Samet Er², Derya Ademo�lu¹, Hayriye Cankar Dal¹, Sema Sar�¹, B��ra Tezcan¹, Dilek Kazanc�¹, Sema Turan¹
¹Department of Intensive Care, T�rkiye Y�ksek �htisas Hospital, Ankara, Turkey
²Department of Anaesthesiology And Reanimation, Ankara Numune Training and Research Hospital, Ankara, Turkey

Myasthenia gravis is a muscle disorder characterized by weakness and rapid fatigue in the skeletal muscles. Myasthenic crisis can develop for various reasons. In this case report, a patient with respiratory distress and a myasthenic crisis who required urgent hospital admission and intensive care unit is described. He had a history of diabetes mellitus, hypertension, coronary artery bypass graft surgery, and a thymectomy due to myasthenia gravis. The patient required mechanical ventilator support in the intensive care unit as a result of acute respiratory failure due to myasthenic crisis. Pyridostigmine 120 mg 3x1 and 1 mg/kg/day prednisolone were administered. Intravenous immunoglobulin was given at a dose of 2 g/kg for 5 days. The patient was removed from the mechanical ventilator on the third day of the intensive care admission. This case is presented as myasthenic crisis as a rare cause of acute respiratory failure.

Keywords: Acute respiratory failure, myastenia gravis, myasthenic crisis

Mehmet Erdem �akmak, Samet Er, Derya Ademo�lu, Hayriye Cankar Dal, Sema Sar�, B��ra Tezcan, Dilek Kazanc�, Sema Turan. A Rare Cause of Acute Respiratory Failure: Myasthenic Crisis. Respir Case Rep. 2018; 7(1): 47-49

Sorumlu Yazar: Mehmet Erdem �akmak, T�rkiye
Makale Dili: T�rk�e

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