Severe Starvation Hypoglycemia and Congestive Heart Failure Induced by Thyroid Crisis, with Accidentally Induced Severe Liver Dysfunction and Disseminated Intravascular Coagulation

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概要

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• A 69-year-old woman caught a cold resulting in nausea, vomiting, diarrhea and severe anorexia. Then she suffered progressively from dyspnea and leg edema, and finally became delirious. On admission severe hypoglycemia, hypothermia, marked tachycardia, generalized edema, mild jaundice and cachexy were noted. EKG showed atrial fibrillation. A chest X-ray, chest CT and echocardiography showed congestive heart failure. Therapeutic use of diuretics induced shock leading to serious liver dysfunction and disseminated intravascular coagulation. However, combined therapy by intravenous glucose, digitalis, diuretics, anti-fibrinolytic drug and hydrocortisone were effective. Addition of antithyroid therapy brought a further favorable outcome.

• 社団法人　日本内科学会の論文
• 2005-03-01

著者

• Aizawa Yoshifusa

  First Department of Internal Medicine, Niigata University School of Medicine

• Suzuki Keisuke

  Sado General Hospital

• Suzuki Keisuke

  新潟大学 医歯学総合研究科

• Suzuki Kenji

  Dep. Of Gastroenterology And Hepatology Niigata Univ. Graduate School Of Medical And Dental Sciences

• KOSUGE Keiichiro

  Diabetes Center, Niigata-Kobari Hospital

• SASAKI Hideo

  Diabetes Center, Niigata-Kobari Hospital

• Abe Eri

  Division Of Endocrinology And Metabolism Department Of Homeostatic Regulation And Development Niigat

• Kosuge Keiichiro

  Diabetes Center Niigata-kobari Hospital

• Kobayashi Chiaki

  Division Of Endocrinology And Metabolism Department Of Homeostatic Regulation And Developments Niiga

• Kobayashi Chiaki

  First Department Of Internal Medicine Tokyo Medical University

• Aizawa Yosifusa

  First Department Of Internal Medicine Niigata University School Of Medicine

• KOSUGE Keiichiro

  First Department of Internal Medicine, Niigata University School of Medicine

• MIYAKITA Yasushi

  Cardiology Unit, Niigata Kobari Hospital

• HAYAKAWA Masahumi

  Gastroenterology Unit, Niigata Kobari Hospital

• SUZUKI Akiko

  First Department of Internal Medicine, Niigata University School of Medicine

• ABE Eri

  First Department of Internal Medicine, Niigata University School of Medicine

• SUZUKI Katsunori

  First Department of Internal Medicine, Niigata University School of Medicine

• Miyakita Yasushi

  Cardiology Unit Niigata Kobari Hospital

• Suzuki Katsunori

  Division Of Endocrinology And Metabolism Niigata University Graduate School Of Medical And Dental Sc

• Hayakawa Masahumi

  Gastroenterology Unit Niigata Kobari Hospital

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• Sasaki Hideo

  Diabetes Center Niigata-kobari Hospital

• Sasaki Hideo

  Diabetes Center Nagaoka Red Cross Hospital

• Suzuki Kaoru

  Dep. Of Gastroenterology And Hepatology Niigata Univ. Graduate School Of Medical And Dental Sciences

• Suzuki Akiko

  Division Of Endocrinology And Metabolism Department Of Homeostatic Regulation And Developments Niiga

• Suzuki Katsunori

  First Department Of Internal Medicine Niigata University School Of Medicine

• Suzuki Kaoru

  Third Dep. Of Medicine Graduate School Of Medical And Dental Sciences Niigata Univ.

• Suzuki Keisuke

  First Department Of Internal Medicine Niigata University School Of Medicine

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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