tetano
Editor, Senior Moderator
Am J Emerg Med
. 2021 Jan 29;S0735-6757(20)31106-2.
doi: 10.1016/j.ajem.2020.11.079. Online ahead of print.
Difficult diagnosis: A case report of thyroid storm obscured by acute asthma exacerbation and concurrent H1N1 influenza
B S Katherine Burton[SUP] 1 [/SUP], Jonathan Mondragon[SUP] 1 [/SUP], Nicolas Ong[SUP] 2 [/SUP], Clifford Buckley[SUP] 1 [/SUP]
Affiliations
Abstract
We present an uncommon case of H1N1 triggered thyroid storm in a patient with previously undiagnosed Grave's Disease. This case illustrates the challenges of diagnosing thyroid storm in the emergency department and the importance of including it in the differential when treating more common diagnoses that fail to respond to usual therapies. Thyroid storm is an endocrinologic emergency and requires prompt recognition and treatment. However, it remains a diagnostic challenge as there is no laboratory test specific to thyroid storm. Diagnosis relies on clinical suspicion in corroboration with patient presentation, laboratory findings and response to therapy.
Keywords: Endocrinology; H1N1 infection; Influenza; Thyroid storm.
. 2021 Jan 29;S0735-6757(20)31106-2.
doi: 10.1016/j.ajem.2020.11.079. Online ahead of print.
Difficult diagnosis: A case report of thyroid storm obscured by acute asthma exacerbation and concurrent H1N1 influenza
B S Katherine Burton[SUP] 1 [/SUP], Jonathan Mondragon[SUP] 1 [/SUP], Nicolas Ong[SUP] 2 [/SUP], Clifford Buckley[SUP] 1 [/SUP]
Affiliations
- PMID: 33583620
- DOI: 10.1016/j.ajem.2020.11.079
Abstract
We present an uncommon case of H1N1 triggered thyroid storm in a patient with previously undiagnosed Grave's Disease. This case illustrates the challenges of diagnosing thyroid storm in the emergency department and the importance of including it in the differential when treating more common diagnoses that fail to respond to usual therapies. Thyroid storm is an endocrinologic emergency and requires prompt recognition and treatment. However, it remains a diagnostic challenge as there is no laboratory test specific to thyroid storm. Diagnosis relies on clinical suspicion in corroboration with patient presentation, laboratory findings and response to therapy.
Keywords: Endocrinology; H1N1 infection; Influenza; Thyroid storm.