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1/5/2026 6:55:12 AM | Browse: 7 | Download: 15
Publication Name World Journal of Clinical Cases
Manuscript ID 115845
Country China
Received
2025-11-07 09:18
Peer-Review Started
2025-11-07 09:18
First Decision by Editorial Office Director
2025-11-18 09:58
Return for Revision
2025-11-18 09:58
Revised
2025-12-01 07:41
Publication Fee Transferred
2025-12-08 15:09
Second Decision by Editor
2025-12-22 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-22 09:45
Articles in Press
2025-12-22 09:45
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-04 00:34
Publish the Manuscript Online
2026-01-05 06:55
ISSN 2307-8960 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Pediatrics
Manuscript Type Case Report
Article Title Preterm heart failure and refractory lactic acidosis caused by congenital hypothyroidism: A case report and review of literature
Manuscript Source Unsolicited Manuscript
All Author List Hong-Ju Chen, Jiao Li, Xiao-Ming Xu, Bo Zhang, Bo-Chao Cheng and Jing Shi
ORCID
Author(s) ORCID Number
Hong-Ju Chen http://orcid.org/0000-0002-9391-536X
Jiao Li http://orcid.org/0000-0002-7448-7814
Bo-Chao Cheng http://orcid.org/0000-0002-9923-5509
Jing Shi http://orcid.org/0000-0003-0835-8587
Funding Agency and Grant Number
Funding Agency Grant Number
Clinical Research Funding of West China Second University Hospital, Sichuan University KL075
Xizang Autonomous Region Science and Technology Program XZ202501JD0017
National Natural Science Foundation of China 81501304
Sichuan Science and Technology Program 22ZDYF0831
Corresponding Author Jing Shi, PhD, Department of Pediatrics, West China Second University Hospital, Sichuan University, No. 20, section 3, Renmin South Road, Wuhou District, Chengdu 610041, Sichuan Province, China. shijing@scu.edu.cn
Key Words Congenital hypothyroidism; Lactic acidosis; Heart failure; Neonate; Preterm; Case report
Core Tip This report details a critical case of congenital hypothyroidism in a preterm infant, presenting as severe heart failure and refractory lactic acidosis. The infant showed a rapid, life-saving response to levothyroxine, highlighting congenital hypothyroidism’s role as a reversible cause of cardiovascular collapse. A key novelty is the profound lactic acidosis, a rarely reported feature of neonatal hypothyroidism. This case underscores the need for high clinical suspicion and repeat screening in preterm infants with unexplained heart failure or metabolic acidosis. Our findings advance understanding of thyroid hormones’ role in cardiac metabolism and confirm that prompt treatment is vital for excellent outcomes.
Publish Date 2026-01-05 06:55
Citation

Chen HJ, Li J, Xu XM, Zhang B, Cheng BC, Shi J. Preterm heart failure and refractory lactic acidosis caused by congenital hypothyroidism: A case report and review of literature. World J Clin Cases 2026; 14(1): 115845

URL https://www.wjgnet.com/2307-8960/full/v14/i1/115845.htm
DOI https://dx.doi.org/10.12998/wjcc.v14.i1.115845
Full Article (PDF) WJCC-14-115845-with-cover.pdf
CARE Checklist–2016 115845-CARE-Checklist-2016.pdf
Manuscript File 115845_Auto_Edited_080345.docx
Answering Reviewers 115845-answering-reviewers.pdf
Audio Core Tip 115845-audio.mp3
Conflict-of-Interest Disclosure Form 115845-conflict-of-interest-statement.pdf
Copyright License Agreement 115845-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 115845-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 115845-non-native-speakers.pdf
Supplementary Material 115845-supplementary-material.pdf
Peer-review Report 115845-peer-reviews.pdf
Scientific Misconduct Check 115845-scientific-misconduct-check.png
Scientific Editor Work List 115845-scientific-editor-work-list.pdf
CrossCheck Report 115845-crosscheck-report.pdf