@article{ajmcr2020863,
author={{Kemnic, Tyler and Choi, James and Kandola, Samanjit and Herzallah, Khader},
title={New Diagnosis of Myasthenia Gravis Following Magnesium Replacement},
journal={American Journal of Medical Case Reports},
volume={8},
number={6},
pages={148--149},
year={2020},
url={http://pubs.sciepub.com/ajmcr/8/6/3},
issn={2374-216X},
abstract={A 29-year-old female G2P2 with a past medical history of hyperthyroidism and depression was admitted for 2-months of progressively worsening weakness of her bilateral upper and lower extremities. Initial investigations were unremarkable, and the patient¡¯s weakness improve the next morning. The patient was thought to have a Somatoform Disorder and was planned for home discharge, however on the day of discharge her magnesium was 1.2 mg/dL. After repletion, she developed seizure-like activity and respiratory failure, requiring mechanical ventilation and transfer to the ICU. In ICU, patient received another dose of replacement magnesium that caused another seizure, code blue and re-intubation. Subsequent lab work revealed reactive Acetylcholine receptor antibodies and subsequent chest imaging demonstrated thymoma, confirming a diagnosis of Myasthenia Gravis in Crisis. The patient improved following plasma exchange and was discharged home with outpatient follow up<i>.</i>},
doi={10.12691/ajmcr-8-6-3}
publisher={Science and Education Publishing}
}