We report a previously asymptomatic 50-year-old lady who came with myasthenic crisis as initial presentation of myasthenia gravis. She developed pulmonary edema following intravenous immunoglobulin administration and had ischemic changes in ECG and left ventricular dysfunction on echocardiography. She improved with diuretics, dobutamine, and fluid restriction alone. This is the first report in English-language medical literature describing the association between myasthenic crisis and likely takotsubo cardiomyopathy-related pulmonary edema following intravenous immunoglobulin administration.

We report a 58-year-old man with multiple yellow jacket stings who developed urticaria, renal failure, quadriparesis, rhabdomyolysis in succession. Investigations revealed renal and hepatic dysfunction, proteinuria, demyelinating polyradiculoneuropathy, acute tubular necrosis and glomerulonephritis. He improved with methylprednisolone, antihypertensives and two sessions of haemodialysis.

Hypercoagulable conditions are known to cause cerebral venous thrombosis (CVT), however, infection related CVT is rare. Thrombosis involving cerebral venous channel is less common than artery. Infection could be either bacterial or fungal in origin. Mycobacterium tuberculosis causing cerebral venous thrombosis is rarely reported. We report a 28 year postpartum lady, who presented with fever, headache, altered sensorium with right sided hemiparesis and signs of meningeal irritation. On evaluation, her cerebrospinal fluid analysis showed evidence of tuberculous infection, magnetic resonance venogram showed cerebral venous thrombosis. She was evaluated for other procoagulant conditions, which were negative. She improved with antitubercular, antiepileptics, anticoagulation medications.

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