Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease

Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease

Thyroid storm is the life-threatening end-organ manifestation of severe thyrotoxicosis. If left untreated, thyroid storm may cause acute heart failure, multiorgan dysfunction, and death. A high degree of suspicion is necessary to make the diagnosis and start antithyroid medications to decrease morta...

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Main Authors: Jorge I. Conte, Marilyn A. Arosemena, Kunal Kapoor, Naomi G. Dempsey, Megan L. Zaleski, Atil Y. Kargi
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2018/4190629
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spelling doaj-4c0dc9a35a6142e6a5252510a51bdee12020-11-24T23:47:25ZengHindawi LimitedCase Reports in Endocrinology2090-65012090-651X2018-01-01201810.1155/2018/41906294190629Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ DiseaseJorge I. Conte0Marilyn A. Arosemena1Kunal Kapoor2Naomi G. Dempsey3Megan L. Zaleski4Atil Y. Kargi5Department of Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USADepartment of Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USADepartment of Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USADepartment of Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USADivision of Endocrinology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USADivision of Endocrinology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USAThyroid storm is the life-threatening end-organ manifestation of severe thyrotoxicosis. If left untreated, thyroid storm may cause acute heart failure, multiorgan dysfunction, and death. A high degree of suspicion is necessary to make the diagnosis and start antithyroid medications to decrease mortality. Thyroid storm is generally seen in patients with Graves’ disease but should also be suspected in patients with fever, tachycardia, altered mental status, and risk factors including local trauma to the neck, such as strangulation. Based on our review, we report the first case of thyroid storm after strangulation as the presentation of previously undiagnosed Graves’ disease.http://dx.doi.org/10.1155/2018/4190629
collection DOAJ
language English
format Article
sources DOAJ
author Jorge I. Conte
Marilyn A. Arosemena
Kunal Kapoor
Naomi G. Dempsey
Megan L. Zaleski
Atil Y. Kargi
spellingShingle Jorge I. Conte
Marilyn A. Arosemena
Kunal Kapoor
Naomi G. Dempsey
Megan L. Zaleski
Atil Y. Kargi
Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease
Case Reports in Endocrinology
author_facet Jorge I. Conte
Marilyn A. Arosemena
Kunal Kapoor
Naomi G. Dempsey
Megan L. Zaleski
Atil Y. Kargi
author_sort Jorge I. Conte
title Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease
title_short Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease
title_full Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease
title_fullStr Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease
title_full_unstemmed Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease
title_sort thyroid storm triggered by strangulation in a patient with undiagnosed graves’ disease
publisher Hindawi Limited
series Case Reports in Endocrinology
issn 2090-6501
2090-651X
publishDate 2018-01-01
description Thyroid storm is the life-threatening end-organ manifestation of severe thyrotoxicosis. If left untreated, thyroid storm may cause acute heart failure, multiorgan dysfunction, and death. A high degree of suspicion is necessary to make the diagnosis and start antithyroid medications to decrease mortality. Thyroid storm is generally seen in patients with Graves’ disease but should also be suspected in patients with fever, tachycardia, altered mental status, and risk factors including local trauma to the neck, such as strangulation. Based on our review, we report the first case of thyroid storm after strangulation as the presentation of previously undiagnosed Graves’ disease.
url http://dx.doi.org/10.1155/2018/4190629
work_keys_str_mv AT jorgeiconte thyroidstormtriggeredbystrangulationinapatientwithundiagnosedgravesdisease
AT marilynaarosemena thyroidstormtriggeredbystrangulationinapatientwithundiagnosedgravesdisease
AT kunalkapoor thyroidstormtriggeredbystrangulationinapatientwithundiagnosedgravesdisease
AT naomigdempsey thyroidstormtriggeredbystrangulationinapatientwithundiagnosedgravesdisease
AT meganlzaleski thyroidstormtriggeredbystrangulationinapatientwithundiagnosedgravesdisease
AT atilykargi thyroidstormtriggeredbystrangulationinapatientwithundiagnosedgravesdisease
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