Seorang Wanita Usia 63 Tahun Dengan Penurunan Kesadaran, Struma Nodusa Hipertiroidisme, CHF NYHA IV, Dan Pneumonia
DOI:
https://doi.org/10.59680/anestesi.v1i3.424Keywords:
Thyroid Crisis, Struma Nodusa, Hyperthyroidism, CHF, PneumoniaAbstract
Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.
References
Pusat Data dan Informasi Kementerian Kesehatan RI. (2015). Situasi dan Analisis Penyakit Tiroid. Kementerian Kesehatan RI.
Sudoyo, A. W., Setiyohadi, B., Alwi, I., K., M. S., Setiati, S., & Syam, A. F. (2017). Buku Ajar Ilmu Penyakit Dalam (6th ed.). Interna Publishing.
American Thyroid Association. (2017). Graves’ Disease. www.thyroid.org.
Subekti, I., & Pramono, L. A. (2018). Current Diagnosis and Management of Graves’ Disease. Acta Med Indones, 50(2), 177–182.
Kelompok Studi Tiroidologi Indonesia. (2017). Pedoman Pengelolaan Penyakit Hipertiroid. PERKENI.
Wantania, F. E. (2014). Penatalaksanaan Penyakit Jantung Tiroid. Jurnal Biomedik, 6(1), 14–22.
Hersunarti, N., Siswanto, B. B., Nauli, S. E., Lubis, A. C., Wiryawan, N., Dewi, P. P., Pratikto, R. S., & Hasanah, D. Y. (2020). Pedoman Tatalaksana Gagal Jantung (2nd ed.). PERKI.
Nurkhalis, & Adista, R. J. (2020). Manifestasi Klinis dan Tatalaksana Gagal Jantung. Jurnal Kedokteran Nanggroe Medika, 3(36–46).
Reviono. (2017). Pneumonia: Adakah Tempat Untuk Pemberian Antiinflamasi? (1st ed.). UNS Press.
Soepandi, P. Z., Burhan, E., Nawas, A., Giriputro, S., Isbaniah, F., Agustin, H., & Handayani, D. (2014). Pneumonia Komunitas: Pedoman Diagnosis & Penatalaksanaan di Indonesia. PDPI.
Martin-Loeches, I., & Torres, A. (2021). New Guidelines for Severe Community-Acquired Pneumonia. Wolters Kluwer Health, 27(3), 210–215.
