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The Rare Sore Throat: A Case of Thyroid Storm and Agranulocytosis.
Kunz, Matthew J; Martini, Wayne A; Filler, Levi.
Afiliación
  • Kunz MJ; Creighton of Phoenix Arizona (COPA), Emergency Medicine, Phoenix, Arizona.
  • Martini WA; Mayo Clinic, Department of Emergency Medicine, Phoenix, Arizona.
  • Filler L; University of Arizona College of Medicine - Phoenix, Department of Emergency Medicine, Phoenix, Arizona.
Clin Pract Cases Emerg Med ; 8(1): 34-37, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38546308
ABSTRACT

Introduction:

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. Case Report 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.

Conclusion:

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.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Pract Cases Emerg Med Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Pract Cases Emerg Med Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos