Challenges in Diagnosis and Management of Myasthenic Crisis in Resource Limited Health Care Setting

Benjamin Ng Han Sim

doi:10.51200/bjms.v11i2.553

Challenges in Diagnosis and Management of Myasthenic Crisis in Resource Limited Health Care Setting

Authors

Benjamin Ng Han Sim Department of Medicine Segamat Hospital, Johor,Malaysia

DOI:

https://doi.org/10.51200/bjms.v11i2.553

Keywords:

Myasthenia Gravis, Myasthenic Crisis, Ice Pack Test

Abstract

A 23 years old lady with background history of breathing and swallowing difficulty for six months presented with respiratory distress to a district hospital without an in-house neurology service. Her diagnosis remained a challenge as patient presented in severe clinical state without a proper medical history available. She was subjected to bedside ice pack testing and subsequently managed along the diagnosis of myasthenia crisis. To our delight and surprise, she responded to the treatment and survived the critical period. The main purpose of this study is to emphasize the importance of bedside ice pack test in diagnosis of myasthenia gravis in resource limited health setting.

Author Biography

Benjamin Ng Han Sim, Department of Medicine Segamat Hospital, Johor,Malaysia

Dr.Benjamin Ng Han Sim

MD(hons)(UMS),

MRCP(UK), MRCP(London),

SCE(Acute Medicine,UK)

General Physician,

Department of Medicine,

Segamat Hospital,

Johor Malaysia

Area of Interest: Acute Medicine, Neurology

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Published

2017-07-19

How to Cite

Ng Han Sim, B. (2017). Challenges in Diagnosis and Management of Myasthenic Crisis in Resource Limited Health Care Setting. Borneo Journal of Medical Sciences (BJMS), 11(2), 27. https://doi.org/10.51200/bjms.v11i2.553

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Issue

Vol. 11 No. 2 (2017): BORNEO JOURNAL OF MEDICAL SCIENCES VOLUME 11, ISSUE 2, 2017

Section

Case report

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Borneo Journal of Medical Sciences

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