Myxedema Coma in Patient with COVID-19 in Hospital of Second Level of Care; A Case Report

Background: Myxedema coma is the severe manifestation of severe hypothyroidism, it occurs in the context of chronically poorly controlled hypothyroidism, it is generally triggered by situations of physical stress, infections being found first, with respiratory infections being an important cause. During the current COVID 19 pandemic, the incidence of respiratory infections has been increasing. Case presentation: A 53 - year - old female patient with a history of thyroidectomy 28 years earlier, comes for care after presenting Sars - Cov2 infection with clinical and biochemical data of severe hypothyroidism and in turn myxedema coma, despite the start of replacement of steroids and with thyroid hormone replacement, the patient had an unfavorable evolution associated with underlying COVID, respiratory distress syndrome associated with it, and subsequent death. Conclusions: Myxedema coma is an entity triggered by infectious processes, among them is Sars - Cov2 in the context of poorly treated severe hypothyroidism, its detection and timely treatment must be done early and based on a high diagnostic suspicion based on the clinical and laboratory findings presented in this article.