Thyroid storm : uncommon presentation

Abstract EN

Thyroid storm could lead to mortality ; it is rare and characterized by severe clinical manifestations of thyrotoxicosis, multiple organ dysfunction result from failure of the compensatory mechanisms of the body.

The diagnosis is clinical and it usually manifests by malignant hyperthermia, tachycardia, GI and neurological manifestations; the mortality is very high in spite of appropriate management.

We report a fifty-year-old Bahraini female who presented to Emergency Medicine department with palpitation, vomiting and diarrhea, as well as symptoms of lower respiratory tract infection.

A provisional diagnosis of thyroid storm was made.

The case was treated in ICU by mechanical ventilation and conservative supportive treatment.

The patient recovered uneventfully.