A case of iatrogenic thyroid storm

https://doi.org/10.53730/ijhs.v6nS3.7052

Authors

  • Shoib Ahamed M. Junior resident, Department of Medicine, M M Institute of Medical Sciences & Research, Maharishi Markandeshwar Deemed to be University, Mullana-133207, India
  • Manu Mathew Senior Resident, Department of Medicine, M M Institute of Medical Sciences & Research, Maharishi Markandeshwar Deemed to be University, Mullana-133207, India
  • Tongar Aditi Ajay Bharat Junior resident, Department of Medicine, M M Institute of Medical Sciences & Research, Maharishi Markandeshwar Deemed to be University, Mullana-133207, India
  • Dipti Aggarwal Junior resident, Department of Medicine, M M Institute of Medical Sciences & Research, Maharishi Markandeshwar Deemed to be University, Mullana-133207, India
  • Bimal K. Agrawal Professor, Department of Medicine, M M Institute of Medical Sciences & Research, Maharishi Markandeshwar Deemed to be University, Mullana-133207, India
  • Ajit Yadav Assistant professor, Department of Pulmonary Medicine, M M Institute of Medical Sciences & Research, Maharishi Markandeshwar Deemed to be University, Mullana-133207, India

Keywords:

iatrogenic, thyroid storm, levothyoxine

Abstract

Thyroid storm is a rare entity and can be fatal if not properly managed on time. A 75 year old lady reported to the emergency room with agitation, restlessness, breathlessness. On further evaluation she was found to have atrial fibrillation with a heart rate of 180 beats per minute. She was carrying a blood report indicative of thyrotoxicosis, which was confirmed subsequently. The patient was diagnosed as a case of thyroid storm and managed accordingly. On taking the detail history it was found that the patient had palpitation since last 2 years and had been taking levothyoxine 75 microgram/day after consulting a paramedical health worker in a hospital. The dose had been escalated to one and half tablet of 75mcg strength, in July 2021 as per the advice of the same health care worker after seeing the report. But the lab report of July 2021, the patient had, indicated thyrotoxicosis. Ideally the dose of levothyroxine should have been reduced or discontinued. 

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Published

07-05-2022

How to Cite

Ahamed, S. M., Mathew, M., Bharat, T. A. A., Aggarwal, D., Agrawal, B. K., & Yadav, A. (2022). A case of iatrogenic thyroid storm. International Journal of Health Sciences, 6(S3), 5201–5206. https://doi.org/10.53730/ijhs.v6nS3.7052

Issue

Vol. 6 No. S3 (2022)

Section

Peer Review Articles
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