Myasthenia Gravis following Low-Osmolality Iodinated Contrast Media. (3rd December 2014)

• Record Type: Journal Article
• Authors: Bonanni, Luca; Dalla Vestra, Michele; Zancanaro, Andrea; Presotto, Fabio
• Other Names: Qanadli Salah D. Academic Editor.
• Is Part Of: Case reports in radiology. Volume 2014(2014)
• Publication Date: 2014-12-03
• Subjects: Radiology -- Periodicals; Radiology -- Case studies -- Periodicals; Medical radiology -- Periodicals; Radiology; Radiology; Medical radiology; Periodicals; Electronic journals; Case studies; Periodicals; 616.0757
• DOI: 10.1155/2014/963461
• Languages: English
• ISSNs: 2090-6862

Abstract

Abstract : We describe the case of 79-year-old man admitted to our general hospital for a 6-week history of progressive dysphagia to solids and liquids associated with weight loss. To reach a diagnosis a total body CT scan with low-osmolality iodinate contrast agent was performed. Two hours later the patient developed an acute respiratory failure requiring orotracheal intubation and mechanical ventilation. The laboratory and neurological tests allow formulating the diagnosis of myasthenia gravis. In literature, other three case reports have associated myasthenic crisis with exposure to low-osmolality contrast media. This suggests being careful in administering low-osmolality contrast media in myasthenic patients.