Document Detail

Abdominal pain and multi-organ dysfunction syndrome in a young woman.
MedLine Citation:
PMID:  18004097     Owner:  NLM     Status:  MEDLINE    
Thyroid storm is a rare but life-threatening condition caused by exaggerated thyrotoxic manifestations. Untreated thyroid storm is fatal, and the case fatality rate is 21% to 30%. The most important clinical management in thyroid storm is early recognition and treatment. We present the case of a previously healthy young woman in whom suspected gastrointestinal tract sepsis complicated by multi-organ dysfunction syndrome masked the major symptomatology of thyroid storm. This patient highlights the importance of a high clinical suspicion for potentially life-threatening conditions, such as thyroid storm, even in the absence of clinical clues (exophthalmos, lid lag, and goiter) or a history of thyrotoxicosis.
Fone-Ching Hsiao; Yi-Jen Hung; Chang-Hsun Hsieh; Ling-Yi Wu; Kuang-Chung Shih; Chih-Tsueng He
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  334     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-16     Completed Date:  2008-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  399-401     Citation Subset:  AIM; IM    
Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
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MeSH Terms
Abdominal Pain / etiology*
Anti-Arrhythmia Agents / therapeutic use
Antithyroid Agents / therapeutic use
Drug Therapy, Combination
Hydrocortisone / therapeutic use
Multiple Organ Failure / etiology*
Propranolol / therapeutic use
Propylthiouracil / therapeutic use
Thyroid Crisis / complications*,  diagnosis*
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 0/Antithyroid Agents; 50-23-7/Hydrocortisone; 51-52-5/Propylthiouracil; 525-66-6/Propranolol

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