A case of atypical thyroid storm with hypoglycemia and lactic acidosis.
We describe herein a case of thyroid storm with hypoglycemia and lactic acidosis-a rare complication of thyroid storm. The patient was a 50-year-old Japanese woman who suffered cardiopulmonary arrest an hour after hospitalization. Analysis of a blood sample obtained before her cardiopulmonary arrest yielded surprising results: Her plasma glucose level was 14 mg/dL and her lactic acid concentration had increased to 6.238 mM. Thus, if atypical thyroid storm presents with normothermic hypoglycemia, and lactic acidosis, we believe it is necessary to consider a diagnosis of thyroid storm earlier, because this condition requires emergency treatment. Moreover, it is very important to apply standard principles in the treatment of atypical cases of thyroid storm.
Izumi
Kenichi
K
Department of Internal Medicine, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan. 123m7@matsuyama.jrc.or.jp
Kondo
Shiori
S
Okada
Takanori
T
D000140:Acidosis, Lactic / Q000097:blood / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006323:Heart Arrest / Q000150:complications* / Q000517:prevention & control; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000150:complications*; D008875:Middle Aged; D013958:Thyroid Crisis / Q000097:blood / Q000150:complications / Q000175:diagnosis*