A 48-Year-Old Man With Excessive Drooling and Descending Paralysis Requiring Mechanical Ventilation

Elyana Matayeva, Theresa Henson, Artur Alaverdian, Javed Iqbal, Jagadish Akella

Research output: Contribution to journalArticle

Abstract

Case Presentation: A 48-year-old man presented with a chief report of worsening dysphagia for 5 days. Initially, he had difficulty swallowing solids, but it has progressed to difficulty with liquids. There was associated sialorrhea, hypophonia, slurring of speech, hoarseness of voice, cough, and prominent upper extremity weakness. Of note, 2 weeks ago, the patient had an upper respiratory tract infection (including otitis media) that was treated with amoxicillin-clavulanate. His wife and son were also recently sick with an upper respiratory tract infection. His medical history included hypertension managed with amlodipine; he denied any history of TB, recent travel, or canned food ingestion. He denied fevers, stridor, dyspnea, rash, odynophagia, nausea, vomiting, or diarrhea.

Original languageEnglish (US)
Pages (from-to)e9-e13
JournalChest
Volume156
Issue number1
DOIs
StatePublished - Jul 2019
Externally publishedYes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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