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Case Reports in Endocrinology
Volume 2012, Article ID 168565, 3 pages
http://dx.doi.org/10.1155/2012/168565
Case Report

Severe Hypoglycemia Accompanied with Thyroid Crisis

1Department of Endocrinology and Metabolism, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan
2Department of Diabetes & Endocrinology, Dokkyo Medical University Nikko Medical Center, 632 Takatoku, Nikko-shi, Tochigi 321-2593, Japan
3Monden Clinic, 115 Tenjincho, Takasaki-shi, Gunma 370-0061, Japan
4Department of Cardiology, Dokkyo Medical University Nikko Medical Center, 632 Takatoku, Nikko-shi, Tochigi 321-2593, Japan

Received 10 September 2012; Accepted 9 October 2012

Academic Editors: H. Hattori, T. Nagase, and A. Sahdev

Copyright © 2012 Yuki Nakatani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.