Crisis miasténica asociada a influenza A H1N1. Presentación de un caso

the infection with seasonal influenza is very common, though it is a prevailing cause of respiratory disease; it has been associated with a variety of neurological complications. however, many cases having neurological complications are not described related to `influenza' a (h1n1) virus. a case of myasthenic crisis associated with `influenza' a (h1n1) virus was presented. a 24 year-old female patient was admitted in the otolaryngology service at "abel santamaria cuadrado" university hospital suffering from rhinolalia, dysphagia and four days of fever followed by acute respiratory failure together with quadriparesis. through several complementary examinations it was possible to diagnose an infection caused by `influenza' a (h1n1) virus and myasthenia gravis. antibiotic-therapy (cefotaxime, amikacin and metronidazole), oseltamivir and intacglobin 400mg/kg during 5 days was the treatment followed, as the patient showed a marked improvement of the respiratory sepsis and motor defect she was then weaned. the patient was transferred to an internal medicine ward to follow a treatment with prednisone and piridostigmine, having a favorable progress.