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VOLUME 24 , ISSUE 2 ( February, 2020 ) > List of Articles


An Unusual Case of Critical Illness Polyneuromyopathy

Gaurav Chaudhary

Keywords : Diabetic Ketoacidosis, Intravenous immunoglobulin, Quadriplegia, Severe hypokalemia

Citation Information : Chaudhary G. An Unusual Case of Critical Illness Polyneuromyopathy. Indian J Crit Care Med 2020; 24 (2):133-135.

DOI: 10.5005/jp-journals-10071-23346

License: CC BY-NC 4.0

Published Online: 20-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Critical illness myopathy (CIM), critical illness polyneuropathy (CIP), and critical illness polyneuromyopathy (CIPNM) are the group of disorders that are commonly presented as neuromuscular weakness in intensive care unit (ICU) settings. They are responsible for prolonged ICU stay and failure to wean off from mechanical ventilation. We report a case of young female who was admitted with undiagnosed type I diabetes mellitus with diabetic ketoacidosis, severe hypokalemia, sepsis developed acute onset quadriplegia, and diaphragmatic palsy within 72 hours of ICU admission. On detailed investigation, CIPNM was diagnosed. In view of high morbidity, mortality, and poor prognosis, a guided approach to diagnose and treat in earliest possible duration might give better improvement and outcome of the illness. Despite all the odds, our patient showed good clinical improvement and finally got discharged.

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