Kunz Matthew J, Martini Wayne A, Filler Levi
Creighton of Phoenix Arizona (COPA), Emergency Medicine, Phoenix, Arizona.
Mayo Clinic, Department of Emergency Medicine, Phoenix, Arizona.
Clin Pract Cases Emerg Med. 2024 Feb;8(1):34-37. doi: 10.5811/cpcem.6609.
Thyroid storm is a rare but potentially life-threatening metabolic disorder that presents unique management challenges in the emergency department. Thionamides are commonly used as monotherapy for first-line treatment of hyperthyroidism.
In this case, a 26-year-old male presented to the emergency department with sore throat, fever, and diarrhea. He was found to have thyrotoxicosis as well as methimazole-induced bone marrow suppression resulting in agranulocytosis.
Thyroid storm is a rare condition that carries a high risk of mortality and can further compromise a patient's immune system due to complications of common treatment modalities. It can potentially be misdiagnosed as sepsis due to tachycardia, febrile state, and tachypnea. This case report includes a discussion of diagnostic studies, as well as medical and surgical treatment modalities that led to the patient's recovery.
甲状腺风暴是一种罕见但可能危及生命的代谢紊乱疾病，在急诊科面临独特的管理挑战。硫代酰胺类药物通常作为单一疗法用于甲亢的一线治疗。
在本病例中，一名26岁男性因咽痛、发热和腹泻就诊于急诊科。他被发现患有甲状腺毒症以及甲巯咪唑引起的骨髓抑制导致粒细胞缺乏症。
甲状腺风暴是一种罕见疾病，具有高死亡率风险，并且由于常见治疗方式的并发症可能进一步损害患者的免疫系统。由于心动过速、发热状态和呼吸急促，它可能被误诊为脓毒症。本病例报告包括对诊断研究以及导致患者康复的内科和外科治疗方式的讨论。
