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10.1213/XAA.0000000000000864

http://scihub22266oqcxt.onion/10.1213/XAA.0000000000000864
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30169383!ä!30169383

suck abstract from ncbi


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pmid30169383      A+A+Pract 2019 ; 12 (4): 119-121
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  • Critical Consideration of Myxedema Coma in the Postoperative Setting: A Case Report #MMPMID30169383
  • Tran M; Vincent L; Ho G; Kelly K; Bouvet M; Meier A
  • A A Pract 2019[Feb]; 12 (4): 119-121 PMID30169383show ga
  • Myxedema coma is a rare but highly fatal condition with reported mortality >40%-50%. Early recognition and prompt treatment are critical for survival. Here we describe a case of possible postoperative myxedema coma after subacute neck hematoma evacuation after hemithyroidectomy in a patient on concurrent amiodarone therapy. Symptoms included somnolence, hypothermia, and prolonged QTc with torsades de pointes resistant to magnesium therapy requiring defibrillation and overdrive pacing. Consideration of the possible diagnosis of myxedema coma resulted in prompt therapy and symptom resolution within 48 hours. Thyroid disorders, although rare, should be considered in the postoperative setting.
  • |*Postoperative Period[MESH]
  • |*Thyroidectomy[MESH]
  • |Amiodarone/therapeutic use[MESH]
  • |Anti-Arrhythmia Agents/therapeutic use[MESH]
  • |Coma/*etiology[MESH]
  • |Female[MESH]
  • |Hematoma/etiology[MESH]
  • |Humans[MESH]
  • |Hypothermia/etiology[MESH]
  • |Hypothyroidism/drug therapy/surgery[MESH]
  • |Middle Aged[MESH]
  • |Myxedema/*etiology[MESH]


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