Department of Medicine, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India
*Corresponding author: Kiran Aithal, Associate Professor, Department of Medicine, SDM College of Medical Sciences and Hospital, Manjushree Nagar, Sattur, Dharwad-09, Karnataka, Email: drkiranaithal@yahoo.com
Online published on 26 June, 2013.
Myasthenia gravis (MG) is occasionally aggravated by chronic infection, of which there are many kinds. We report herein the case of a 75-year-old woman with MG aggravated by the Lower lobe Tuberculosis (LLT), diagnosed by flexible fiber optic bronchoscopy with broncho alveolar lavage (BAL). The possibility of LLT had been underdiagnosed in the differential diagnosis of aggravation of MG weakness, because LLT often misdiagnosed as other pneumonias even in endemic areas. This case suggests that chronic infections such as tuberculosis should be considered in myasthenic patients with exacerbation if definite evidence for aggravating factors of MG is not obtained.
Myasthenia Gravis, Lower Lobe Tuberculosis
