Your browser doesn't support javascript.
Presentation of motor neuron disease in a patient with weight loss and acute-on-chronic respiratory failure.
Chan, Tak Wai.
  • Chan TW; Acute Medicine, University Hospitals Plymouth NHS Trust, Plymouth, UK tak.chan@nhs.net.
BMJ Case Rep ; 14(4)2021 Apr 21.
Article in English | MEDLINE | ID: covidwho-1197246
Semantic information from SemMedBD (by NLM)
1. Motor Neuron Disease PROCESS_OF Patients
Subject
Motor Neuron Disease
Predicate
PROCESS_OF
Object
Patients
2. Acute-on-chronic respiratory failure PROCESS_OF Patients
Subject
Acute-on-chronic respiratory failure
Predicate
PROCESS_OF
Object
Patients
3. Weight decreased PROCESS_OF Patients
Subject
Weight decreased
Predicate
PROCESS_OF
Object
Patients
4. Motor Neuron Disease PROCESS_OF Patients
Subject
Motor Neuron Disease
Predicate
PROCESS_OF
Object
Patients
5. Acute-on-chronic respiratory failure PROCESS_OF Patients
Subject
Acute-on-chronic respiratory failure
Predicate
PROCESS_OF
Object
Patients
6. Weight decreased PROCESS_OF Patients
Subject
Weight decreased
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
A previously fit and well 72-year-old man was referred to the acute medical unit with acute shortness of breath and confusion. He had presented 6 months earlier to his General Practitioner with a 6-month history of weight loss and lethargy. Despite CT imaging and extensive blood tests, no cause was found. He was having ongoing outpatient investigations, including a respiratory review leading up to his admission; the deterioration in his condition also coincided with the implementation of the COVID-19 lockdown. On admission, he was found to be in acute-on-chronic type 2 respiratory failure; examination revealed scattered fasciculations. Further inpatient electromyography (EMG) and nerve conduction study (NCS) confirmed motor neuron disease (MND). This case highlighted the importance of considering neuromuscular causes for acute respiratory failure in acute presentations and demonstrated the challenges in the diagnosis of MND in those presenting atypically with non-specific symptoms and the limitations of remote consultations in complex cases.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Insufficiency / Weight Loss / Motor Neuron Disease Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-238789

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Insufficiency / Weight Loss / Motor Neuron Disease Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-238789