Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report
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 havi...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e56903 |
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| creator | Narayan, Swetha Bhutra, Nidhi Kumar, Sahil G, Jithesh Choudhury, Arnab Kumar, Nitin Shriwastav, Dr Ujjawal K Bairwa, Mukesh |
| 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. |
| doi_str_mv | 10.7759/cureus.56903 |
| format | Article |
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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.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.56903</identifier><identifier>PMID: 38659542</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>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</subject><ispartof>Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e56903</ispartof><rights>Copyright © 2024, Narayan et al.</rights><rights>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.</rights><rights>Copyright © 2024, Narayan et al. 2024 Narayan et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-4172c6433ec8ce7688432cd69b5fd3ff911f181d0a633c50c66b0c990637a7da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042784/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042784/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38659542$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Narayan, Swetha</creatorcontrib><creatorcontrib>Bhutra, Nidhi</creatorcontrib><creatorcontrib>Kumar, Sahil</creatorcontrib><creatorcontrib>G, Jithesh</creatorcontrib><creatorcontrib>Choudhury, Arnab</creatorcontrib><creatorcontrib>Kumar, Nitin</creatorcontrib><creatorcontrib>Shriwastav, Dr Ujjawal K</creatorcontrib><creatorcontrib>Bairwa, Mukesh</creatorcontrib><title>Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Myxedema is a medical emergency with high mortality rates if not treated aggressively. 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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.</description><subject>Abdomen</subject><subject>Airway management</subject><subject>Antibiotics</subject><subject>Case reports</subject><subject>Coma</subject><subject>Edema</subject><subject>Epiglottis</subject><subject>Hypothyroidism</subject><subject>Internal Medicine</subject><subject>Larynx</subject><subject>Neck</subject><subject>Ostomy</subject><subject>Pleural effusion</subject><subject>Pneumonia</subject><subject>Proteins</subject><subject>Respiratory failure</subject><subject>Sinuses</subject><subject>Thyroid gland</subject><subject>Tomography</subject><subject>Tracheotomy</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpVkVFLwzAUhYMoTubefJaAr3YmTZukvsgo6oSJ4vQ5ZGm6ZbRNTVqx_97OzTGf7oX7cc7hHgAuMBozFic3qnW69eOYJogcgbMQUx5wzKPjg30ARt6vEUIYsRAxdAoGhNM4iaPwDMznbe3ksrBNYxR87r51pksJX532umpMtYTSQwlTW9aFUbIxtoI2h9Outs2qc9Zkxpe3cAJT6TV807V1zTk4yWXh9Wg3h-Dj4f49nQazl8endDILVEhZE0SYhYpGhGjFlWaU84iEKqPJIs4zkucJxjnmOEOSEqJipChdIJUkiBImWSbJENxtdet2UepM9YGdLETtTCldJ6w04v-lMiuxtF8CYxSFrLcbgqudgrOfrfaNWNvWVX1oQVCUcEQZ3VDXW0o5673T-d4CI7GpQWxrEL819PjlYaw9_Pd08gMc1oUU</recordid><startdate>20240325</startdate><enddate>20240325</enddate><creator>Narayan, Swetha</creator><creator>Bhutra, Nidhi</creator><creator>Kumar, Sahil</creator><creator>G, Jithesh</creator><creator>Choudhury, Arnab</creator><creator>Kumar, Nitin</creator><creator>Shriwastav, Dr Ujjawal K</creator><creator>Bairwa, Mukesh</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20240325</creationdate><title>Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report</title><author>Narayan, Swetha ; 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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.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>38659542</pmid><doi>10.7759/cureus.56903</doi><oa>free_for_read</oa></addata></record> |
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| 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 |
| title | Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report |
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