title: Pediatric Patient With Altered Mental Status and Hypoxemia: Case Report.
abstract: Childhood cases of myxedema coma are extremely rare. We report a case of a 5-year-old girl transferred to a tertiary care pediatric emergency department with hypoxemia and altered mental status and diagnosed with severe hypothyroidism and myxedema coma in the setting of acute influenza infection. Although it is rare, myxedema coma must remain in the differential diagnosis for altered mental status and organ dysfunction in the pediatric population.
authors.affiliation: From the *Department of Pediatrics, University of Pittsburgh School of Medicine; †Department of Pediatrics, Children's Hospital of Pittsburgh; ‡Division of Pediatric Endocrinology, Department of Pediatrics, University of Pittsburgh School of Medicine; and §Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA.
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Root
authors.forename: Marcela
authors.initials: M
authors.lastname: Vargas
authors.forename: Luigi R
authors.initials: LR
authors.lastname: Garibaldi
authors.forename: Richard A
authors.initials: RA
authors.lastname: Saladino
mesh_terms: D002675:Child, Preschool; D003128:Coma / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000175:diagnosis* / Q000188:drug therapy; D000860:Hypoxia / Q000209:etiology*; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D013974:Thyroxine