H1N1 感染引起的甲状腺危象。
H1N1 infection-induced thyroid storm.
机构信息
Intensive Care Departments, King Saud Bin Abdulaziz, University for Health Sciences, Saudi Arabia.
出版信息
Ann Thorac Med. 2010 Apr;5(2):110-2. doi: 10.4103/1817-1737.62475.
Abstract
A thyroid storm is a life-threatening exacerbation of thyrotoxicosis, and is usually characterized by hyperthermia, tachycardia, severe agitation and altered mental status. A thyroid storm may be triggered by many causes, including systemic pulmonary infections. Delay in prompt diagnosis leads to high mortality. We present the first case of H1N1 infection triggering a thyroid storm. The delay in diagnosis because of preoccupancy with the H1N1 pandemic may have contributed to the poor outcome. When assessing cases with H1N1 infection, physicians should be more vigilant in order not to miss other important diagnoses.
摘要
甲状腺危象是甲状腺毒症恶化的一种危及生命的情况，通常表现为高热、心动过速、严重激越和意识状态改变。甲状腺危象可能由多种原因引起，包括全身肺部感染。诊断延迟会导致高死亡率。我们报告首例 H1N1 感染引发的甲状腺危象。由于对 H1N1 大流行的关注而导致诊断延迟，可能导致了不良结局。在评估感染 H1N1 的病例时，医生应更加警惕，以免漏诊其他重要诊断。
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