Abstract:
Myxoedema coma is a rare life-threatening disease, and it is essential that it is managed appropriately to reduce the
associated high mortality. However, in the setting where efficient healthcare delivery is hampered by inadequacies,
the management of such cases may pose a significant challenge. We present the case of a middle-aged woman diagnosed
with myxoedema coma and severe hyponatremia. The case report highlights some of the challenges that may
be encountered during the management of myxoedema coma in similar settings and outlines the management strategies
undertaken to overcome them in the absence of national guidelines. It also brings to the fore the need for clinicians
to look out for clinical features suggestive of hypothyroidism particularly among high risk individuals for early
diagnosis and treatment.