{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:39:11Z","timestamp":1792701551232,"version":"4.5.0"},"reference-count":11,"publisher":"Scientific Scholar","issue":"01","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":2825,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Acute respiratory failure is an uncommon initial presentation of myasthenia gravis (MG). In our case a 22-year-old woman of unrecognized MG presented to the emergency department with isolated respiratory failure as the first presenting symptom. Initially she presented with dysphonia and was managed by speech therapist and ENT surgeons for 3 months. Subsequently, she presented with signs and symptoms of sepsis and went into acute respiratory failure. This case highlights the need to consider MG in the differential diagnosis of an otherwise unexplained respiratory failure in the critical care setting.<\/jats:p>","DOI":"10.4103\/0976-3147.91961","type":"journal-article","created":{"date-parts":[[2012,1,17]],"date-time":"2012-01-17T09:46:14Z","timestamp":1326793574000},"page":"80-82","source":"Crossref","is-referenced-by-count":3,"title":["An undiagnosed myasthenia gravis presenting as isolated recurrent acute respiratory failure"],"prefix":"10.25259","volume":"03","author":[{"given":"Ram Shri","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Neurology, North Eastern Indira Gandhi Regional Institute of Medical Sciences, Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalini","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Neurology, North Eastern Indira Gandhi Regional Institute of Medical Sciences, Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ME","family":"Yeolekar","sequence":"additional","affiliation":[{"name":"Department of Neurology, North Eastern Indira Gandhi Regional Institute of Medical Sciences, Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.91961-1","first-page":"2843","volume-title":"Myasthenia gravis: Past, present, and future","author":"Conti-","year":"2006","journal-title":"J Clin Invest"},{"key":"key-10.4103\/0976-3147.91961-2","first-page":"97","volume-title":"Disorders of neuromuscular junction ion channels","author":"Boonyapisit","year":"1999","journal-title":"Am J Med"},{"key":"key-10.4103\/0976-3147.91961-3","first-page":"1542","volume-title":"Effects of 8-week, Interval-based inspiratory muscle training and breathing retraining the patient with generaliszed myasthenia gravis","author":"Fregonezi","year":"2005","journal-title":"Chest"},{"key":"key-10.4103\/0976-3147.91961-4","first-page":"106","volume-title":"An undiagnosed myasthenia gravis presented with acute respiratory failure","author":"Siu","year":"2001","journal-title":"Hong Kong J Emerg Med"},{"key":"key-10.4103\/0976-3147.91961-5","first-page":"101","volume-title":"Myasthenia gravis presenting as isolated respiratory failure: A case report","author":"Won","year":"2010","journal-title":"Korean J Intern Med"},{"key":"key-10.4103\/0976-3147.91961-6","first-page":"108","volume-title":"Myasthenia gravis presenting with stridor","author":"Hanson","year":"1996","journal-title":"Thorax"},{"key":"key-10.4103\/0976-3147.91961-7","first-page":"1114","volume-title":"Acute inspiratory stridor: A presentation of myasthenia gravis","author":"Abu!Matin","year":"999;","journal-title":"J Laryngol Otol l"},{"key":"key-10.4103\/0976-3147.91961-8","first-page":"678","volume-title":"Bilateral abductor vocal folds paralysis due to myasthenia gravis","author":"Osei","year":"999;","journal-title":"J Laryngol Otol l"},{"key":"key-10.4103\/0976-3147.91961-9","first-page":"684","volume-title":"Respiratory failure as a first presentation of myasthenia gravis","author":"Quereshi","year":"2004","journal-title":"Med Sci Monit"},{"key":"key-10.4103\/0976-3147.91961-10","first-page":"2304","volume-title":"Clinical correlates with anti -MuSK antibodies in generalized seronegative myasthenia gravis","author":"Amelia","year":"2003","journal-title":"Brain"},{"key":"key-10.4103\/0976-3147.91961-11","first-page":"239","volume-title":"Acute respiratory failure in patients with Guillain-Barre syndrome and myasthenic crisis treated with plasmapheresis in the intensive care unit","author":"Szczeklik","year":"2008","journal-title":"Pol Arch Med Wewn"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0976-3147.91961.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:24:16Z","timestamp":1691209456000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/an-undiagnosed-myasthenia-gravis-presenting-as-isolated-recurrent-acute-respiratory-failure\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,9,26]]},"published-print":{"date-parts":[[2012,1]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-3147.91961","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1]]}}}