Tennessee Medicine E-Journal


Some of the findings of hypothyroidism are very similar to those of normal aging. Myxedema coma, the most severe presentation of hypothyroidism, has a mortality rate of 50-60% in the elderly. Although respiratory failure is rare in myxedema coma, it is an emergency due to the high mortality, especially in the elderly. This case report presents a geriatric patient who developed type 2 respiratory failure following myxedema coma associated with Hashimoto’s thyroiditis, and emphasizes the importance of early recognition and treatment of myxedema coma.