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Friday, 29 November 2013

Thyroid Disease : Euthyroid sick syndrome as a result of Pneumonia

Euthyroid sick syndrome is defined as a condition of  low T3 low T4 syndrome. According ot the study by the Mayo Clinic, in  other word this is the abnormalities of thyroid hormone concentrations seen commonly in a wide variety of nonthyroidal illnesses, resulting in low triiodothyronine, total thyroxine, and thyroid stimulating hormone concentrations(a). Decreased triiodothyronine (T3) levels are most common. Patients with more severe or prolonged illness also have decreased thyroxine (T4) levels. Serum reverse T3 (rT3) is increased. Patients are clinically euthyroid and do not have elevated thyroid-stimulating hormone (TSH) levels(b). Causes of euthyroid sick syndrome include a number of acute and chronic conditions, including pneumonia, fasting, starvation, sepsis, trauma, cardiopulmonary bypass, malignancy, stress, heart failure, hypothermia, myocardial infarction, chronic renal failure, cirrhosis, and diabetic ketoacidosis and inflammatory bowel disease(c). Others, in the study of classified SES into 3 subgroups according to the different alterations seen in the values of T3, T4, FT3, FT4, TSH, rT3 and TBG suggested that in SES type I the diseases seen, in order of frequency, were: obstructive chronic bronchopneumopathy with acute respiratory failure, diabetic ketoacidosis, neoplasms, ischemic heart disease, cardiac failure, chronic renal failure, liver diseases, acute cerebral vasculopathies, sepsis and collagenopathies. The disease seen in the 2 cases of SES type II was obstructive chronic bronchopneumopathy with acute respiratory failure. In SES type III the diseases seen were, in order of frequency: diabetic ketoacidosis, lung diseases, ischemic heart disease, cardiac failure, peripheral arteriopathies, acute cerebral vasculopathies, neoplasms, liver diseases, acute renal failure(d).
Euthyroid sick syndrome as a result of pneumonia
Pneumonia is defined as a condition of the inflammation of the lung as a result of infection, caused by bacteria, such as bacteria Streptococcus pneumoniae or influenza viruses in most cases. Fungi, such as Pneumocystis jiroveci, certain medication such as PPI Stomach Acid Drugs and other conditions such as impaired immune systems.
 
According to Author: V. Dimov, M.D. and S. Randhawa, M.D. There is report of a 57-year-old female with a past medical history (PMH) of SLE, hypertension (HTN) and depression was transferred from an outside hospital for work-up and treatment of a change in mental status and fever. That admission was preceded by a one-week history of diffuse joint pain, weakness, and fatigue. On transfer, she was diagnosed with multilobar pneumoni...(1).
Please refer to the articles of Pneumonia for this subject
2.1. The Risk Factors
2.2. Bacterial causes of Pneumonia
2.3. Viral causes of Pneumonia
2.4. The Misdiagnosis
2.5. Diseased associated to pneumonia
2.6. The Complications
2.7. Pneumonia – The Diagnosis
2.8. Pneumonia - The Diet
2.9. Pneumonia Treatments In conventional medicine perspective
2.10. Pneumonia Treatments In Herbal medicine perspective
2.11. Pneumonia Treatments In traditional Chinese medicine perspective
2.12. Antioxidants and Pneumonia 
2.13. Phytochemicals and Pneumonia


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Sources
(1) http://clinicalcases.org/2004/05/sick-euthyroid-syndrome-in-patient-with.html