Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report.

Autor:	Narayan S; General Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Bhutra N; General Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Kumar S; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., G J; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, RISHIKESH, IND., Choudhury A; General Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Kumar N; General Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Shriwastav DUK; General Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Bairwa M; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Mar 25; Vol. 16 (3), pp. e56903. Date of Electronic Publication: 2024 Mar 25 (Print Publication: 2024).
DOI:	10.7759/cureus.56903
Abstrakt:	Myxedema is a medical emergency with high mortality rates if not treated aggressively. Here, we present a middle-aged female with complaints of generalized body swelling for one year, shortness of breath, hoarseness of voice, neck swelling, and cough for 20 days. The patient was diagnosed to be having severe hypothyroidism with polyserositis. Contrast-enhanced computed tomography (CECT) of the neck and thorax revealed extensive soft tissue edema causing airway narrowing, bilateral pleural effusion, moderate pericardial effusion, and features of atypical pneumonia. The patient was started on levothyroxine and antibiotics as per cultures to which she had initially improved; however, she developed ventilator-associated pneumonia leading to sepsis, acute respiratory distress syndrome followed by refractory type 1 respiratory failure and succumbed. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Narayan et al.)
Databáze:	MEDLINE
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