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Journal of Neuroinfectious Diseases
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  • Case Report   
  • J Neuroinfect Dis 2019, Vol 10(2): 287

Unmasking of Myasthenia Gravis by Rickettsia Meningitis

Omar Nawfal, Tarek El-Halabi, Mohammad Agha and Achraf Makki*
Department of Neurology, American University of Beirut Medical Center, Beirut, Lebanon
*Corresponding Author : Achraf Makki, American University of Beirut Medical Center, Beirut, Lebanon, Tel: +961 1 350 000, Email: [email protected]

Received Date: Dec 13, 2018 / Accepted Date: Apr 03, 2019 / Published Date: Apr 10, 2019

Abstract

Myasthenia gravis is a chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs. There is no cure for myasthenia gravis, but it is treated with medications and sometimes surgery. Here, we describe the case of a 64-year-old man who presented with a 3 day history of fever, chills, diarrhea and generalized fatigue after returning from a recent trip to India. He was initially diagnosed with traveler’s diarrhea and began receiving IV hydration and was started on oral Azithromycin. The present case was special and extremely rare, as unmasking of MG occurring only few hours after a single oral dose of azithromycin with an initial manifestation of isolated respiratory compromise in a patient with Rickettsia meningitis is the first in literature.

Keywords: Myasthenia Gravis; Antibiotic; Infection; Rickettsia

Citation: Nawfal O, El-Halabi T, Agha M, Makki A (2019) Unmasking of Myasthenia Gravis by Rickettsia Meningitis. J Neuroinfect Dis 10: 287.

Copyright: © 2019 Nawfal O, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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