Case Report of Myasthenia Gravis Complicated by Myasthenic Crisisdiagnosedin A Resource-Low Setting

Introduction: Myasthenia gravis is an extremely rare disorder. It may present uniquely with ocular symptoms or it may present with ocular, bulbar and respiratory symptoms. 15-20% of patients with myasthenia gravis are affected by myasthenia crisis at least once in their life time. Case summary: We present the case of a 26 year old male diagnosed of generalized myasthenia gravis in 2015 after presenting predominantly with ocular symptoms but and non-compliant to treatment who later presented with myasthenic crisis dominated by respiratory and ocular symptoms. He was hospitalized in ICU with respiratory and life support. Conclusion: Myasthenia gravis and myasthenic crisis are relatively rare disorders. Presentation can range from ocular through generalized to respiratory failure. This case highlights the importance of considering neuromuscular disorders in patients presenting with ocular symptoms such as diplopia.