title: Thyroid storm presenting as multiple organ dysfunction syndrome.
abstract: Thyroid storm is a rare disorder characterized by hypertension, hyperthermia, and multiple systems involvement. Early recognition and treatment of thyroid storm are essential in reducing morbidity and mortality from this disorder. We present the case of a patient with an atypical (normothermic, normotensive) presentation of thyroid storm, accompanied by multiple organ dysfunction syndrome, including lactic acidosis and liver dysfunction, both of which are very rare complications. This case highlights both the multiple organ systems that can be involved in thyroid storm and the importance of recognizing atypical presentations of thyroid storm.
authors.affiliation: Department of Internal Medicine, Bridgeport Hospital, Yale New Haven Health, Bridgeport, CT 06610, USA. ryjian@bpthosp.org
authors.forename: Y Z
authors.initials: YZ
authors.lastname: Jiang
authors.forename: K A
authors.initials: KA
authors.lastname: Hutchinson
authors.forename: P
authors.initials: P
authors.lastname: Bartelloni
authors.forename: C A
authors.initials: CA
authors.lastname: Manthous
mesh_terms: D000328:Adult; D013956:Antithyroid Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D019344:Lactic Acid / Q000097:blood; D009102:Multiple Organ Failure / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D011441:Propylthiouracil / Q000627:therapeutic use; D013958:Thyroid Crisis / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013963:Thyroid Hormones / Q000097:blood
chemical_list: D013956:Antithyroid Agents; D007457:Iodine Radioisotopes; D013963:Thyroid Hormones; D019344:Lactic Acid; D011441:Propylthiouracil