HASAN KARA, Özgül YILDIZ, İbrahim BÜKÜM, Abdullah ÇETKİN, Reyhan KARADAĞ

Levotiroksin intoksikasyonu

Levotiroksin, tiroid hormon replasman tedavisinde çok kullanılan bir ajandır. Yetişkinlerde yüksek doz levotiroksin maruziyetine bağlı olarak geniş yelpazede semptomlar ortaya çıkmaktadır. Yetişkin hastaların çoğu asemptomatik seyretmektedir. Uygun tedavi protokolleri hala kesinleşmemiştir. Bu sunumda 19 yaşında levotiroksin intoksikasyonu nedeniyle yoğun bakım ünitesinde takip edilen bir olgu sunuldu. Olguya gastrik lavaj, aktif kömür, propiltiourasil, propranolol ve prednizolon tedavisi uygulandı. Bu olgu, yüksek doz levotiroksin almasına rağmen uygun tedavi ile tirotoksikoz belirtileri gelişmeden hasta düzelerek taburcu edildi.

Levothyroxine intoxication

Levothyroxine is a common agent which is used in thyroid replacement therapy. It has a large scale of symptoms in patients which expose to high doses. Most of the patients remains asymptomatic and only a small amount comes up with symptoms. There haven't been any established trade protocols for levothyroxine intoxication in adults. In this case, we report a 19 year old levothyroxin intoxication patient, required intensive care treatment. Patient had gastrointestinal lavage, activated charcoal, propylthiouracil, propranolol and prednisolone therapy. Patient didn't have any thyrotoxicosis symptoms and discharced.

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