Myxedema Coma: A Rare Case of Shock Post-Pericardial Window Procedure.
Severe hypothyroidism
levothyroxine
myxedema coma
pericardial effusion
pericardial window
post-operative
shock
Journal
Clinical Medicine Insights. Cardiology
ISSN: 1179-5468
Titre abrégé: Clin Med Insights Cardiol
Pays: United States
ID NLM: 101525768
Informations de publication
Date de publication:
2022
2022
Historique:
received:
17
09
2022
accepted:
02
11
2022
entrez:
12
12
2022
pubmed:
13
12
2022
medline:
13
12
2022
Statut:
epublish
Résumé
The clinical features of severe hypothyroidism vary in presentation, ranging from subclinical symptoms to multiorgan failure referred to as myxedema coma. The cornerstone treatments of myxedema coma include aggressive thyroid hormone replacement combined with excellent supportive care in the intensive care unit. We report a rare case of a 56-year-old female with history of hypothyroidism treated with levothyroxine, who developed myxedema coma post-pericardial window surgery for a large pericardial effusion. She was supported with substantial doses of vasopressors and inotropes for shock. In addition, she was initiated on lung-protection ventilation for acute respiratory distress syndrome. After the diagnosis of myxedema coma was made, she was started on intravenous levothyroxine and hydrocortisone with great sustained clinical response. This case illustrated myxedema coma as an unusual cause of shock in post-operative patients with past medical history of hypothyroidism.
Identifiants
pubmed: 36505229
doi: 10.1177/11795468221141302
pii: 10.1177_11795468221141302
pmc: PMC9726846
doi:
Types de publication
Case Reports
Langues
eng
Pagination
11795468221141302Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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