Abstract
Thyroid storm is an acute, life-threatening syndrome due to an exacerbation of thyrotoxicosis, which is when you have an excess of thyroid hormone in the body. Thyroid storm can be precipitated by infections, surgery, or untreated thyrotoxicosis. Multisystem involvement is often seen. Typical symptoms include fever and tachycardia, which are rather common, as well as more severe symptoms such as atrial fibrillation, congestive heart failure, hepatic failure, delirium and coma. The Burch-Wartofsky Point Scale is often used for the clinical diagnosis of thyroid storm. Prompt diagnosis and therapy are required to prevent complications and mortality in patients with thyroid storm. Here we present a case of thyroid storm in a patient that presented with psychosis and significant weight loss.
Highlights
Thyroid storm is an acute, life-threatening syndrome due to an exacerbation of thyrotoxicosis
The most common etiologies of hyperthyroidism include Graves' disease, toxic adenoma, thyroiditis, and multinodular goiter. This case report describes a 56-year-old female with untreated hyperthyroidism who presented for thyroid storm
The patient's mental status was initially normal at that time but after being discharged from the hospital, she developed symptoms of altered mental status with hallucinations
Summary
Thyroid storm is an acute, life-threatening syndrome due to an exacerbation of thyrotoxicosis. The most common etiologies of hyperthyroidism include Graves' disease, toxic adenoma, thyroiditis, and multinodular goiter. This case report describes a 56-year-old female with untreated hyperthyroidism who presented for thyroid storm. The patient’s family reported that the patient has a history of severe depression, 120-pound weight loss within the past year with complaints of hair loss, dry mouth, fevers, poor oral intake, vertigo, and tinnitus. The patient had altered mentation and was tremulous Her neck was supple with no jugular vein distention (JVD), lymphadenopathy, or carotid bruit. The patient had a Burch and Wartofsky score of 50 which is indicative of a thyroid storm (Table 3). The patient was discharged with 20 mg of hydrocortisone and 10 mg of methimazole
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