[ XXXX with @entity1576 associated with @entity151 ].

@entity1 @entity66 @entity5 @entity900 @entity425 @entity2879 @entity1576 @entity460 @entity7235 @entity151 @entity6085 @entity2753
HISTORY AND ADMISSION FINDINGS: A 53-year-old @entity1 had suffered from progressive @entity425 for 8 weeks. She was not able to walk on her own. Two hours after admission endotracheal intubation and mechanical ventilation became necessary because of @entity1576 . INVESTIGATIONS: Chest radiograph and computerized tomography showed a huge lesion originating from the lower lobe of the left lung with mediastinal infiltration. Histological examination of bronchoscopical-guided biopsy disclosed @entity151 . Electrophysiological studies revealed an incremental response on high-rate stimulation in the repetitive nerve stimulation test. Autoantibodies to P/C-type voltage-gated @entity460 channels were detected. Further, laboratory test results revealed @entity2753 (100 mmol/l) and elevated @entity6085 (11 pg/ml). DIAGNOSIS, TREATMENT AND CLINICAL COURSE: These results led to the diagnosis of paraneoplastic @entity7235 ( @entity7235 ) with @entity1576 caused by @entity151 . Additionally, @entity6085 ( @entity6085 ) was diagnosed as another @entity66 . Because of a prolonged weaning process resulting from inadequacy of mechanical ventilation, administration of intravenous immunoglobulins and chemotherapy with @entity900 and @entity2879 were undertaken. This made successful extubation possible after 7 days. In spite of all supportive treatment, clinical deterioration occurred. The @entity1 died 27 days after the @entity151 had been diagnosed. CONCLUSION: The @entity7235 should be considered in cases of unexplained @entity1576 and clinical evidence of @entity5 .
