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Comprehensive care of a patient with obesity of BMI >70 kg/m2
  1. Shaila Kabir1,
  2. ABM Tofazzal Hossain2,
  3. Sadia Choudhury Shimmi3 and
  4. Choo Si Jie4
  1. 1Department of Medicine Based Discipline (Medicine/Endocrinology), Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Surgical Based Discipline (ORL-HNS), Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  3. 3Department of Biomedical Science and Therapeutics, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
  4. 4Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Shaila Kabir; shaila{at}


A 31-year-old woman, with a body mass index of 70.31 kg/m2, presented with progressive worsening of dyspnoea for 3 days. She had multiple comorbidities, including obesity hypoventilation syndrome. The patient developed type II respiratory failure with respiratory acidosis along with multiorgan failure. She was intubated and put on a mechanical ventilator and treated with intravenous diuretics, subcutaneous low-molecular-weight heparin and other supportive measures. Later, she was on noninvasive, continuous positive airway pressure ventilation overnight. She was prescribed a very-low-calorie diet along with physiotherapy and exercise. The patient underwent bariatric surgery 2 months after resolution of acute illness. Ten months after surgery, her body weight reduced from 180 kg to 121 kg, and her general condition improved. Successful management before and after surgical intervention depends on multidisciplinary teamwork, which includes the dietician, physiotherapist, endocrinologist, pulmonologist, nursing care and other supportive care.

  • obesity (nutrition)
  • obesity (public health)
  • sleep disorders (respiratory medicine)
  • diet

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  • Contributors SK is the first and corresponding author. She planned this case report after discussion with other authors, helped with its conception and design, and wrote the case report. ABMTH took part in the discussion of planning of the case report, helped in writing it and conducted the literature review. SCS edited and formatted the case report and helped in the selection of appropriate kinds of literature after review. CSJ helped in collecting patient information and history, and acquisition of relevant documents for the patient’s management.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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