PICWICKIAN SYNDROME, A RARE CASE AND DREADFUL COMPLICATION IN MORBID OBESITY

A CASE SERIES

Authors

  • Irma Febrina
  • Nanny Soetedjo
  • Maya Kusumawati
  • Ervita Ritonga
  • Hikmat Permana

Keywords:

Pickwickian syndrome, obesity hypoventilation syndrome, morbid obesity, obese, body mass index

Abstract

CASE
Picwickian Syndrome or Obesity hypoventilation syndrome (OHS) is a respiratory consequence of morbid obesity that is characterized by alveolar hypoventilation during sleep and wakefulness. The disorder involves a complex interaction between impaired respiratory mechanics, ventilatory drive, and sleep-disordered breathing. The first case: A 65-year-old female, from West Java Indonesia, with a BMI of 62.5 kg/m2, presented to the hospital with unconsciousness and respiratory distress. On admission, she was noted to have multiorgan dysfunction including respiratory failure and renal failure. She was diagnosed with Sepsis et causa Community-Acquired Pneumonia with MODS encephalopathy, morbid obesity with Picwickian syndrome, and tuberculosis. The second case: A 27-year-old male, from West Java Indonesia, with a BMI of 50.6 kg/m2. He came to the hospital with respiratory distress. He was diagnosed with Sepsis due to hospital-acquired pneumonia with MODS, respiratory failure, encephalopathy, morbid obesity with Pickwickian syndrome, hypokalemia, and exit site infection.

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Author Biographies

Irma Febrina

Padjajaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Nanny Soetedjo

Padjajaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Maya Kusumawati

Padjajaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Ervita Ritonga

Padjajaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

Hikmat Permana

Padjajaran University/Dr. Hasan Sadikin Hospital, Bandung, Indonesia

References

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Published

2023-11-09

How to Cite

Febrina, I., Soetedjo, N., Kusumawati, M., Ritonga, E. ., & Permana, H. (2023). PICWICKIAN SYNDROME, A RARE CASE AND DREADFUL COMPLICATION IN MORBID OBESITY: A CASE SERIES. Journal of the ASEAN Federation of Endocrine Societies, 38(S3), 86. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/3449

Issue

Section

Poster Presentation | Obesity