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Medications administered during the neonatal period may mask the diagnosis of congenital hypothyroidism. Herein, we report a case of undiagnosed congenital hypothyroidism while the infant was on treatment with dopamine. Given the inhibitory effect of dopamine on thyroid-stimulating hormone, a high index of suspicion for potential congenital hypothyroidism is needed in such neonates. [ABSTRACT FROM AUTHOR]

The article discusses the case of a 64-year-old male diabetic patient who was admitted to the hospital due to renal failure from toxic shock. He had ecthyma gangrenosum in the right leg and septicaemia after taking a mud bath near the sea. He did not respond well to the dopamine therapy because his uninjured leg changed color and his fingers had ischaemia. When the gangrene on his right leg worsened, it was amputated after which his condition improved.