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(Chest. 2000;118:877-879.)
© 2000 American College of Chest Physicians

Thyroid Storm Presenting as Multiple Organ Dysfunction Syndrome*

Yin-Zheng Jiang, MD; Karen A. Hutchinson, MD; Peter Bartelloni, MD and Constantine A. Manthous, MD, FCCP

* From the Department of Internal Medicine, Bridgeport Hospital, Yale New Haven Health, Bridgeport, CT.

Correspondence to: Yin-Zheng Jiang, MD, Department of Internal Medicine, Bridgeport Hospital, 267 Grant St, Bridgeport, CT 06610; e-mail: ryjian{at}bpthosp.org

Thyroid storm is a rare disorder characterized by hypertension, hyperthermia, and multiple systems involvement. Early recognition and treatment of thyroid storm are essential in reducing morbidity and mortality from this disorder. We present the case of a patient with an atypical (normothermic, normotensive) presentation of thyroid storm, accompanied by multiple organ dysfunction syndrome, including lactic acidosis and liver dysfunction, both of which are very rare complications. This case highlights both the multiple organ systems that can be involved in thyroid storm and the importance of recognizing atypical presentations of thyroid storm.

Key Words: fever • hyperthyroidism • lactic acidosis • thyroid crisis




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