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

Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e56903 [Peer Reviewed Journal]

Copyright © 2024, Narayan et al. ;Copyright © 2024, Narayan et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright © 2024, Narayan et al. 2024 Narayan et al. ;ISSN: 2168-8184 ;EISSN: 2168-8184 ;DOI: 10.7759/cureus.56903 ;PMID: 38659542

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Title:
Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report
Author: Narayan, Swetha ; Bhutra, Nidhi ; Kumar, Sahil ; G, Jithesh ; Choudhury, Arnab ; Kumar, Nitin ; Shriwastav, Dr Ujjawal K ; Bairwa, Mukesh
Subjects: Abdomen ; Airway management ; Antibiotics ; Case reports ; Coma ; Edema ; Epiglottis ; Hypothyroidism ; Internal Medicine ; Larynx ; Neck ; Ostomy ; Pleural effusion ; Pneumonia ; Proteins ; Respiratory failure ; Sinuses ; Thyroid gland ; Tomography ; Tracheotomy
Is Part Of: Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e56903
Description: 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.
Publisher: United States: Cureus Inc
Language: English
Identifier: ISSN: 2168-8184
EISSN: 2168-8184
DOI: 10.7759/cureus.56903
PMID: 38659542
Source: PubMed Central
ProQuest Central

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

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