title: Severe hypoglycemia accompanied with thyroid crisis.
abstract: We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF) saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.
authors.affiliation: Department of Endocrinology and Metabolism, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan ; Department of Diabetes & Endocrinology, Dokkyo Medical University Nikko Medical Center, 632 Takatoku, Nikko-shi, Tochigi 321-2593, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nakatani
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Monden
authors.forename: Minoru
authors.initials: M
authors.lastname: Sato
authors.forename: Nozomi
authors.initials: N
authors.lastname: Domeki
authors.forename: Mihoko
authors.initials: M
authors.lastname: Matsumura
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Banba
authors.forename: Takaaki
authors.initials: T
authors.lastname: Nakamoto