Contributed by Sanja Dacic, MD, PhD
Published on line in July 2000
This is a case of a 24-year-old man with depression that was found unresponsive at home. Preceding this event, patient had been complaining of fatigue, nausea, vomiting and diarrhea over a couple of days. That was associated with progressive confusion. After initial cardiopulmonary resuscitation by paramedics, sinus rhythm was regained. Patient was admitted to coronary care unit. Next day, patient developed ventricular tachycardia that progressed to asystole. Further resuscitation was unsuccessful and patient was pronounced dead.
The following laboratory data were found on admission:
|Total CPK||1207 IU/L|
|CPK MB||34.5 ng/ml|
Toxicological studies were negative.
Normal sinus rhythm with first degree AV- block, incomplete right bundle branch block, left anterior fascicular block, marked ST abnormality with possible inferior and anterolateral subendocardial injury
|Anti-thyroglobulin||25 (normal <100)|
|Anti-thyroid peroxide||209 (normal < 50)|
|Parietal cell antibody||>100 (positive)|