title: Thyroid storm following trauma: a pitfall in the emergency department.
abstract: We present a case of a patient with thyroid storm exhibiting symptoms similar to those of traumatic injury. This patient presented multiple traumatic wounds on his limbs and face, loss of consciousness, and tachycardia. Diagnosis was initially confounded by the similarity between the symptoms of traumatic hypovolemic shock and trauma-induced thyroid storm. This case report discusses the factors leading to the diagnostic delay and highlights the dangerous manifestations of thyroid storm.
authors.affiliation: Division of Traumatology Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Chia-Ming
authors.initials: CM
authors.lastname: Liang
authors.affiliation: Division of General Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Meng-Hsing
authors.initials: MH
authors.lastname: Ho
authors.affiliation: Division of General Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Xi-Yuan
authors.initials: XY
authors.lastname: Wu
authors.affiliation: Division of Traumatology Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Zhi-Jie
authors.initials: ZJ
authors.lastname: Hong
authors.affiliation: Division of Traumatology Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC. Electronic address: f1233j@yahoo.com.tw.
authors.forename: Sheng-Der
authors.initials: SD
authors.lastname: Hsu
authors.affiliation: Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Cheng-Jueng
authors.initials: CJ
authors.lastname: Chen
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D013956:Antithyroid Agents / Q000008:administration & dosage*; D057210:Delayed Diagnosis; D004636:Emergency Service, Hospital; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D011193:Potassium Iodide / Q000008:administration & dosage*; D011441:Propylthiouracil / Q000008:administration & dosage*; D018570:Risk Assessment; D013958:Thyroid Crisis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D013960:Thyroid Function Tests; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications* / Q000628:therapy
chemical_list: D013956:Antithyroid Agents; D011193:Potassium Iodide; D011441:Propylthiouracil
keywords: Endocrinologic emergency; Thyroid storm