Anub John, Sanjeev Singh, Angelica Singh, Carrie G Lenneman
A 34 year old female with undiagnosed myasthenia gravis (MG) presented with shortness of breath and weakness. She was diagnosed with community acquired pneumonia and myasthenic crisis (MC). Her hospital course was complicated by hypoxemic respiratory failure requiring intubation with echocardiography revealing a hyper-dynamic apex and basilar hypokinesis consistent with Reverse Takotsubo Cardiomyopathy (RTCM). We present the first published case of RTCM from MC and review the existing cases of stress induced cardiomyopathies in MG patients.
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