Higgs Maureen, Hull Erroll, Lujan Eugenio
Department of Anesthesia, Naval Medical Center, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.
Case Rep Endocrinol. 2014;2014:980283. doi: 10.1155/2014/980283. Epub 2014 Feb 11.
This is a case of thyrotoxicosis, due to the Jöd-Basedow phenomenon following administration of oral and IV iodinated contrast in a patient with history of gastrointestinal stromal tumor (GIST) and small bowel obstruction. The patient developed atrial fibrillation and had an extended stay in the intensive care unit. Given the aging population with possible subclinical hyperthyroidism, multinodular goiter, and the rise in contrast administration for routine diagnostic studies, this case serves to raise awareness of the risks of "routine" tests administered to our aging patient population.
这是一例甲状腺毒症病例，其病因是一名有胃肠道间质瘤（GIST）病史和小肠梗阻的患者在口服及静脉注射碘化造影剂后出现了约德-巴塞多现象。该患者发生了心房颤动，并在重症监护病房延长了住院时间。鉴于老年人群中可能存在亚临床甲状腺功能亢进、多结节性甲状腺肿，以及常规诊断检查中造影剂使用的增加，本病例旨在提高对给予老年患者“常规”检查风险的认识。
