We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Urgencias endocrinológicas: coma mixedematoso.
- Authors
Camilo González, Iván; Alejandro López, Pablo; Angel Saavedra, Miguel; Andrea González, Natalia; Herrera Acero, Sebastián
- Abstract
Introduction: herein we present an endocrine emergency, myxedema coma, which is a form of decompensated hypothyroidism, whose mortality may be as high as 52% as evidenced in some case series. It may be triggered by multiple factors and has varied clinical presentations for it affects diverse organ systems. Case presentation: we present the case of a 42-year-old female who presented to the emergency department of Hospital de San José in Bogotá with clinical suspicion of decompensated heart failure upon admission, however, her response was poor to the treatment she received. Extension studies were performed which showed low thyroid function. Discussion and conclusions: at this point the patient was diagnosed with myxedema coma, and was started on high doses of oral levothyroxine, with which she evolved favorably and was discharged a few days later.
- Subjects
SYMPTOMS; HOSPITAL emergency services; THYROID gland; HYPOTHYROIDISM; COMA; HEART failure
- Publication
Repertorio de Medicina y Cirugía, 2022, Vol 31, Issue 1, p89
- ISSN
0121-7372
- Publication type
Article
- DOI
10.31260/RepertMedCir.01217372.1003