Myxedema Coma: A Rare Case Report of Severe Hypothyroidism in Uganda

Abstract

Mohamed Jayte and Awil Abdi

Objective: in this report, we describe a case of myxedema coma in a 46-year-old Ugandan lady who had never before had hypothyroidism.

Investigations and Medical Care: The patient's first presentation included bradycardia, hypothermia, and a noticeably low Glasgow Coma Scale score. Laboratory examinations revealed severe primary hypothyroidism. Intravenous levothyroxine, hydrocortisone, and supportive care were the first steps in the treatment.

Results: After receiving therapy for one week, the patient achieved a full recovery. Thyroid function tests showed improvement back to normal range.

Conclusion: This case highlights the importance of considering myxedema coma in the differential diagnosis of altered mental status, even in resource-limited settings. Increased awareness, prompt diagnosis, and appropriate treatment can be life-saving in these cases.

PDF