Thyroid storm with encephalopathy and cardiovascular symptoms refractory to medical management in an adolescent

Thyroid storm (TS) is rare in pediatrics, most cases reported in literature responded well to medical therapy. We report the case of an adolescent female presented with TS refractory to anti-thyroid medical management. She had refractory hypertension, tachycardia, and progressive encephalopathy desp...

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Bibliographic Details
Published in:International Journal of Critical Illness and Injury Science 2020-01, Vol.10 (1), p.38-41
Main Authors: Chauhan, Jigar C., Frizzola, Meg, McMahon, Kimberly, Perry, Sarah, Hertzog, James H.
Format: Article
Language:English
Subjects:
Case Report
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Summary:Thyroid storm (TS) is rare in pediatrics, most cases reported in literature responded well to medical therapy. We report the case of an adolescent female presented with TS refractory to anti-thyroid medical management. She had refractory hypertension, tachycardia, and progressive encephalopathy despite aggressive medical management. She underwent subtotal thyroidectomy after 2 weeks of failed medical management with a complete resolution of symptoms within days of surgery. We also learned sodium nitroprusside with its direct vasodilatory effect on conduit vessels, verapamil with its rate control properties, and labetalol with its dual sympathetic blockage property were beneficial in the management of this patient.
ISSN:2229-5151
2231-5004
DOI:10.4103/IJCIIS.IJCIIS_58_19