Adolescent female patient with shock unresponsive to usual resuscitative therapy.
Thyroid storm (thyroid crisis) is a rare and serious complication of thyrotoxicosis with a significant mortality rate if left untreated. Early recognition of the syndrome with a thorough history and physical examination is therefore essential. The exact mechanism for this decompensation is unknown; however, many physiologic stressors can precipitate the crisis. This report describes an unusual case of a previously unrecognized thyrotoxicosis developing into a storm in a pediatric patient manifesting as refractory shock.
Ureta-Raroque
S S
SS
Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas 75235-9063, USA.
Abramo
T J
TJ
D000293:Adolescent; D005260:Female; D006801:Humans; D012151:Resuscitation; D012769:Shock / Q000209:etiology* / Q000628:therapy*; D013958:Thyroid Crisis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy