Simultaneous presentation of thyrotoxicosis and diabetic ketoacidosis resulted in sudden cardiac arrest.
Although many cases of simultaneous presentation of thyrotoxicosis (thyroid storm) and diabetic ketoacidosis have been reported, it is a clinically unusual situation and remains a diagnostic and management challenge in clinical practice. The diagnosis of diabetic ketoacidosis or thyrotoxicosis may be masked leading to serious complications. We report two patients with simultaneous thyrotoxicosis and diabetic ketoacidosis resulted in sudden cardiac arrest, emphasizing early recognition and prompt treatment when these two disease are presented concomitantly.
Department of Internal Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung, Taiwan.
Kai-Fuan
KF
Yeo
Yi-Sun
YS
Yang
Kuo-Shuen
KS
Chen
Chiung-Huei
CH
Peng
Chien-Ning
CN
Huang
D000293:Adolescent; D000328:Adult; D013956:Antithyroid Agents / Q000627:therapeutic use; D016757:Death, Sudden, Cardiac / Q000209:etiology* / Q000473:pathology; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D012151:Resuscitation; D013971:Thyrotoxicosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
D013956:Antithyroid Agents; D007004:Hypoglycemic Agents