PT - JOURNAL ARTICLE AU - Vaidya, H TI - Case of the month: Unusual presentation of myasthenia gravis with acute respiratory failure in the emergency room AID - 10.1136/emj.2005.030429 DP - 2006 May 01 TA - Emergency Medicine Journal PG - 410--413 VI - 23 IP - 5 4099 - http://emj.bmj.com/content/23/5/410.short 4100 - http://emj.bmj.com/content/23/5/410.full SO - Emerg Med J2006 May 01; 23 AB - A 21 year old woman with no past medical history presented to the emergency room (ER) with signs and symptoms of sepsis and subsequently went into acute respiratory failure. She was found to have myasthenia gravis which was exacerbated by the infection. This report highlights the need to consider myasthenia gravis in the differential diagnosis of an otherwise unexplained respiratory failure in the critical care setting.