Aspiration Pneumonia from a Large Pharyngeal Pouch Masquerading as Myasthenia Gravis Related Bulbar Dysfunction


Vol 8 | Issue 3 | September-December 2022 | Page: 15-18 | Chetan Pataki, Daniel Shuttleworth, Gamunu Ratnayake

DOI: 10.13107/jaccr.2022.v08i03.209

Author: Chetan Pataki [1], Daniel Shuttleworth [1], Gamunu Ratnayake [1]

[1] Department of Anaesthesia and Intensive Care, Musgrove Park Hospital, Taunton, UK.

Address of Correspondence
Dr. Chetan Pataki,
Specialty Doctor, Department of Anaesthesia and Intensive Care, Musgrove Park Hospital, Taunton, UK.


A 69-year-old male patient was admitted to the hospital with history of generalised weakness and significant weight loss in the preceding months. This was investigated by general practitioner (GP) and was recently diagnosed with Myasthenia Gravis. He was referred to our hospital for further investigations and management.
The patient had a respiratory arrest secondary to aspiration pneumonia in the ward. He was resuscitated and was treated in critical care unit. The myasthenic crisis was treated with medical management and Plasma exchange therapy.
On CT Chest and Barium Swallow, the patient was incidentally diagnosed with a big pharyngeal pouch with some collection. The pharyngeal pouch was stapled by ENT surgeon with endoscopic approach.
The patient was successfully treated for the aspiration pneumonia, Myasthenic Crisis and Pharyngeal pouch. He was discharged from hospital on day 24 of admission.
Keywords: Myasthenia Gravis, Myasthenic Crisis, Pharyngeal Pouch, Zenker’s Diverticulum, Aspiration Pneumonia


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How to Cite this Article: Pataki C, Shuttleworth D, Ratnayake G | Aspiration Pneumonia from a Large Pharyngeal Pouch Masquerading as Myasthenia Gravis Related Bulbar Dysfunction | Journal of Anaesthesia and Critical Care Case Reports | September-December 2022; 8(3): 15-18.

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