Thyroid storm after chest trauma

Tatjana Novaković ,
Tatjana Novaković
Bogdan Dejanović ,
Bogdan Dejanović
Zdravko Vitošević ,
Zdravko Vitošević
Nenad Milošević ,
Nenad Milošević
Jovana Milošević ,
Jovana Milošević
Ljiljana Jovićević ,
Ljiljana Jovićević
Emilija Novaković ,
Emilija Novaković
Miloš Mirković ,
Miloš Mirković
Zlatica Mirković
Zlatica Mirković

Published: 01.12.2019.

Volume 49, Issue 3 (2020)

pp. 51-54;

https://doi.org/10.5937/pramed2004051n

Abstract

Thyroid storm is an acute and severe complication of thyrotoxicosis. It is characterized by high fever, sweating, tachycardia, and often heart failure too. The objectives of the paper is to present the case of a patient with thyroid storm developed after the trauma of the chest at previously apparently healthy individuals, diagnosed on the basis of clinical preview and based on the diagnostic criteria according to Burch and Wartofsky. The most common complication is Mb. Graves - Basedow, but often associated with multi-nodose goiter. Thyroid storm is the most severe form of thyrotoxicosis with a mortality rate of 8 to 25 %. Case report. We present an interesting case from our practice: thyroid storm caused after chest trauma in apparently healthy people, but with unrecognized hyperthyroidism and thyroid gland nodule. Conclusion. The objectives of this presentation were to raise awareness of the association between signs and symptoms of thyroid storm that dominate the clinical picture and complicate the initial presentation and the evolution of the situation caused by trauma. The treatment of hyperthyroidism resulted in conversion in sinus rhythm, withdrawal of symptoms and signs heart failure, and normalization of artery pressure.

Keywords

References

1.
Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid. 2016;26(10):1343–421.
2.
Wartofsky L. Thyrotoxic storm. In 2005. p. 651–7.
3.
Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic Criteria, Clinical Features, and Incidence of Thyroid Storm Based on Nationwide Surveys. Thyroid. 2012;22(7):661–79.
4.
Klein I, Danzi S. Thyroid Disease and the Heart. Circulation. 2007;116(15):1725–35.
5.
Angell TE, Lechner MG, Nguyen CT, Salvato VL, Nicoloff JT, LoPresti JS. Clinical Features and Hospital Outcomes in Thyroid Storm: A Retrospective Cohort Study. The Journal of Clinical Endocrinology & Metabolism. 2015;100(2):451–9.

Citation

Copyright

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Most read articles

Indexed by