JMA Journal

Figure 1. Chest computed tomography of the patient during admission revealed posterior atelectasis in both lungs, possibly due to increased airway secretions.

Figure 2. AChE predominates in the human brain, whereas BuChE is widely distributed in PNS and other organs such as the intestine, heart, and liver. Distigmine and rivastigmine inhibit AChE and BuChE, while galantamine and donepezil selectively inhibit AChE. Blood tests measure the activity of plasma BuChE. The rapid absorption and short half-time of galantamine align well with the rapid onset and resolution of symptoms in our patient.
AChE: acetylcholinesterase, APL: allosteric potentiating ligand, BuChE: butyrylcholinesterase, CNS: central nervous system, nAChRs: nicotinic acetylcholine receptors, PNS: peripheral nervous system, Tmax: time to peak drug concentration.