Myxoedema coma: an almost forgotten, yet still existing cause of multiorgan failure
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Myxoedema coma : an almost forgotten, yet still existing cause of multiorgan failure. / Salomo, Louise Havkrog; Laursen, Adam Hoegsbro; Reiter, Nanna; Feldt-Rasmussen, Ulla.
I: BMJ Case Reports, Bind 2014, 2014.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Myxoedema coma
T2 - an almost forgotten, yet still existing cause of multiorgan failure
AU - Salomo, Louise Havkrog
AU - Laursen, Adam Hoegsbro
AU - Reiter, Nanna
AU - Feldt-Rasmussen, Ulla
PY - 2014
Y1 - 2014
N2 - 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.
AB - 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.
KW - Bradycardia
KW - Coma
KW - Humans
KW - Hypothermia
KW - Macroglossia
KW - Male
KW - Middle Aged
KW - Multiple Organ Failure
KW - Myxedema
KW - Respiration, Artificial
KW - Respiratory Insufficiency
KW - Thyroxine
U2 - 10.1136/bcr-2013-203223
DO - 10.1136/bcr-2013-203223
M3 - Journal article
C2 - 24481020
VL - 2014
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
ER -
ID: 138134585