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VOLUME 16 , ISSUE 4 ( October, 2012 ) > List of Articles

CASE REPORT

Perioperative management of a patient with myxedema coma and septicemic shock

Neha Baduni, Sunil Kumar Sinha, Manoj K. Sanwal

Keywords : Inotropes, myxedema coma, parenteral elroxine, septicemia, shock, thyroxine

Citation Information : Baduni N, Sinha SK, Sanwal MK. Perioperative management of a patient with myxedema coma and septicemic shock. Indian J Crit Care Med 2012; 16 (4):228-230.

DOI: 10.4103/0972-5229.106510

License: CC BY-ND 3.0

Published Online: 00-10-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Myxedema coma is a life-threatening but uncommon complication of long-standing, neglected hypothyroidism. It was first reported by Ord in 1879. Till date only around 200 cases have been reported in literature. The incidence in European countries is 0.22 per million per year. No epidemiological data is available from the Indian subcontinent. We are reporting the case of an elderly lady who went into life-threatening myxedema coma along with septicemic shock, and was successfully treated with oral thyroxine.


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  1. Hypothyroidism in elderly patients. AORN J 1999;69:1026- 30.
  2. Hypothyroidism in the elderly. Compr Ther 1984;10:17-23.
  3. Myxoedema coma: Diagnosis and treatment. Am Fam Physician 2000;62:2485-90.
  4. Lithium toxicity and myxoedema coma in an elderly woman. J Emerg Med 1990;8:63-6.
  5. Myxedema coma. Endocrinol Metab Clin North Am 2006;35:687-98, vii-viii.
  6. Myxedema coma: Pathophysiology, therapy, and factors affecting prognosis. Med Clin North Am 1995;79:185-94.
  7. Myxedema coma. A form of decompensated hypothyroidism. Endocrinol Metab Clin North Am 1993;22:279-90.
  8. Secondary adrenal insufficiency associated with autoimmune disorders: A report of twenty-five cases. Clin Endocrinol (Oxf) 1998;49:779-83.
  9. Primary hypothyroidism associated with secondary adrenocortical insufficiency. J Endocrinol Invest 1982;5:251-4.
  10. Werner and Ingbars. The thyroid: A fundamental and clinical text. 8 th ed. Philadelphia: Lipincott Williams and Wilkins; 2000.
  11. Myxodema coma: Response of thyroid hormones with oral and intravenous high-dose L-thyroxine treatment. Intensive Care Med 1991;17:16-8.
  12. Predictors of outcome in myxedema coma: A study from a tertiary care centre. Crit Care 2008;12:R1.
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