A case of myxedema coma precipitated by herpes zoster: a rare manifestation of a common disease

Authors

  • Abhishek Chanda Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India
  • Nikhil Sonthalia Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India
  • Mohammad Saddam Hossain Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India
  • Nirmalya Roy Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India
  • Suman Sarkar Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India
  • Shikhar Bansal Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20223408

Keywords:

Myxedema coma, Herpes zoster, Hypothyroidism

Abstract

Myxedema coma is a disease state which is characterised by altered sensorium, hyponatremia, Bradycardia and hypotension. It is an emergency where prompt treatment is needed at the earliest, failure in identifying it is associated with fatal prognosis. The crisis is usually triggered by stressful events, the most common of which is infections like pneumonia and urinary tract infection. There has been sporadic case reports of myxedema coma associated with herpes zoster infection.

Author Biographies

Abhishek Chanda, Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

1st Year Resident in the department of Medicine KPC Medical College and Hospital

Nikhil Sonthalia, Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

3rd year Resident in the department of Medicine KPC Medical College and Hospital

Mohammad Saddam Hossain, Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

1st Year Resident in the department of Medicine KPC Medical College and Hospital

Nirmalya Roy, Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

Professor in the department of Medicine KPC Medical College and Hospital

Suman Sarkar, Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

Senior Resident in the department of Medicine KPC Medical College and Hospital

Shikhar Bansal, Department of General Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

3rd Year Resident in the department of Medicine KPC Medical College and Hospital

References

Wartofsky L. Myxedema coma. Endocrinol Metab Clin North Am. 2006;35(4):687-9.

Wall CR. Myxedema coma: diagnosis and treatment. Am Fam Physician. 2000;62(11):2485-90.

Murthy TA, Rangappa P, Jacob I, Janakiraman R, Rao K. Myxoedema coma in adults: Experience from a tertiary referral hospital intensive care unit. Indian J Anaesth. 2015;59(5):315-7.

Roy N, Majumder A, Sanyal D, Chaudhuri SR, Sarkar S, Pathak A. Legions of Presentations of Myxedema Coma: A Case Series from a Tertiary Hospital in India. J ASEAN Fed Endocr Soc. 2020;35(2):233-7.

Mathew V, Misgar RA, Ghosh S, Mukhopadhyay P, Roychowdhury P, Pandit K, et al. Myxedema coma: a new look into an old crisis. J Thyroid Res. 2011;2011:493462.

Wall CR. Myxedema coma: diagnosis and treatment. Am Fam Physician. 2000;62(11):2485-90.

Moosa A, Schussler JM, Mora A. Myxedema coma with cardiac tamponade and severe cardiomyopathy. Proc (Bayl Univ Med Cent). 2015;28(4):509-11.

Dixit S, Dutta MK, Namdeo M. A Rare Case of Myxedema Coma with Neuroleptic Malignant Syndrome (NMS). J Clin Diagn Res. 2015;9(5):1-3.

Ahn JY, Kwon HS, Ahn HC, Sohn YD. A case of myxedema coma presenting as a brain stem infarct in a 74-year-old Korean woman. J Korean Med Sci. 2010;25(9):1394-7.

Chaudhari D, Gangadharan V, Forrest T. Heart failure presenting as myxedema coma: case report and review article. Tenn Med. 2014;107(2):39-41.

Chaudhari D, Gangadharan V, Forrest T. Heart failure presenting as myxedema coma: case report and review article. Tenn Med. 2013;106(5):39-40.

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Published

2022-12-27

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Section

Case Reports