Thyroid Crisis in a Patient With Burn Injury.
Thyroid crisis is an exacerbation of hyperthyroidism that results in severe systemic disturbances and could be fatal. Similarly, severe burn injury also has a hypermetabolic response as part of its presentation. When these two conditions are present concurrently, one must be cognizant that the patient requires urgent optimization of their hyperthyroid status before surgery, and continuous monitoring in an intensive care unit setting. We offer a systematic approach to managing these patients.
From the *Department of Plastic and Reconstructive Surgery, University of the Witwatersrand, Johannesburg, South Africa; †Department of Surgery, Chris Hani Baragwanath Academic Hospital Adult Burns Unit, Soweto, South Africa; and ‡Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Chrysis
C
Sofianos
Dean P
DP
Redant
Ramazani A
RA
Muganza
Rachel L
RL
Moore
Danielle S
DS
Ferrar
D002056:Burns / Q000150:complications*; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications; D008875:Middle Aged; D013958:Thyroid Crisis / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy