BMJ case reports, 2014-01, Vol.2014 (jan30 1), p.bcr2013203223-bcr2013203223
2014
Details
- Autor(en) / Beteiligte
- Titel
- Myxoedema coma: an almost forgotten, yet still existing cause of multiorgan failure
- Ist Teil von
- BMJ case reports, 2014-01, Vol.2014 (jan30 1), p.bcr2013203223-bcr2013203223
- Ort / Verlag
- England: BMJ Publishing Group LTD
- Erscheinungsjahr
- 2014
- Link zum Volltext
- Quelle
- Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
- Beschreibungen/Notizen
- A 48-year-old man was admitted to department of emergency medicine at a tertiary referral hospital due to dizziness and fatigue. Clinical features on admission were non-pitting oedema, dry skin, very sparse hair, a hoarse voice, hypothermia (rectal temperature 28.7°C), macroglossia, sinus bradycardia and slow cerebration. Blood tests revealed severe hypothyroidism. During admission, the patient developed respiratory failure, renal failure, bleeding symptoms and diffuse colitis. The patient was treated with hydrocortisone and levothyroxine and he survived miraculously. This case describes a patient with myxoedema coma with severe hypothermia and cardiac involvement with development of multiorgan dysfunction all linked to the severe depletion of triiodothyronine.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1757-790XeISSN: 1757-790XDOI: 10.1136/bcr-2013-203223Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3912383
- Format
- –
- Schlagworte
- Bradycardia - etiology, Bradycardia - therapy, Coma - complications, Coma - diagnosis, Coma - therapy, Europe (West), Humans, Hypothermia - etiology, Hypothermia - therapy, Macroglossia - etiology, Male, Middle Aged, Multiple Organ Failure, Myxedema - complications, Myxedema - diagnosis, Myxedema - therapy, Respiration, Artificial, Respiratory Insufficiency - etiology, Respiratory Insufficiency - therapy, Thyroxine - therapeutic use, Unusual Presentation of More Common Disease/Injury, White