Untreated primary hypothyroidism with simultaneous rhabdomyolysis, pericardial effusion, and sudden sensorineural hearing loss: a case report

Table 1 Patient’s laboratory values

Variables	Reference range	Admission	Day 3	Day 7	Day 10	Day 20 (Outpatient clinic)
Hemoglobin, (g/dL)	13.1–17.2	12.0	12.9		12.2	12.2
WBC count, (× 10³/μL)	4.5–11.0	9.3	11.4		12.73	10.62
WBC Diff., neutrophils, (%)	40–75	64.7	88.8		70.0	66.9
BUN, (mg/dL)	7–23	19.0	15.2	12.9	17.0	22.8
Creatinine, (mg/dL)	0.7–1.4	1.5	1.34	1.11	1.07	1.16
Alkaline phosphatase, (U/L)	30–120	162	166			116
Alanine aminotransferase, (U/L)	3–45	357	270	273	138	47
Aspartate aminotransferase, (U/L)	3–45	278	221	147	49	27
Total cholesterol, (mg/dL)	130–240	222
LDL cholesterol, (mg/dL)	50–160	136
HDL cholesterol, (mg/dL)	40–85	74
Triglycerides, (mg/dL)	35–200	127
Creatine kinase, (IU/L)	43–198	9300	9936	1530	632	235
Lactate dehydrogenase, (IU/L)	238–422	1876	1818	1508	1333	457
Myoglobulin, (ng/mL)	28–72	636	428		61	47
CK-MB, (ng/mL)	0–4.87	52.07	42.60		11.24	5.94
Troponin I, (ng/mL)	0–0.014	0.057
TSH, (μIU/mL)	0.17–4.05	> 100		53.65		48.17
fT4, (μIU/mL)	0.89–1.79	0.32		0.65		1.63
T3, (ng/dL)	78–182	55.6		71.6		86.2

Abbreviations: BUN blood urea nitrogen, CK-MB creatine kinase muscle-brain fraction, TSH thyroid stimulating hormone, fT4 free thyroxine, T3 triiodothyronine, WBC white blood cell, LDL low density lipoprotein, HDL high density lipoprotein

ISSN: 1472-6823