In the eye of the storm: iodinated contrast medium induced thyroid storm presenting as cardiopulmonary arrest
| Autor: | Samer Alkhuja, Ronald Pyram, Olutunde Odeyemi |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Pulmonary and Respiratory Medicine
endocrine system medicine.medical_specialty endocrine system diseases animal diseases Iohexol Contrast Media Physical examination Critical Care and Intensive Care Medicine Thyroid function tests Iodinated contrast Edema medicine Thyroid storm Humans Lung medicine.diagnostic_test business.industry Thyroid Emergency department Middle Aged medicine.disease Pulmonary embolism Heart Arrest medicine.anatomical_structure Dyspnea Female Radiology medicine.symptom Thyroid Crisis Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed |
| Zdroj: | Heartlung : the journal of critical care. 42(4) |
| ISSN: | 1527-3288 |
| Popis: | The administration of iodinated contrast medium may lead to excess free thyroid hormone release and cause thyroid storm. A woman presented to the emergency department with dyspnea, hemoptysis, and intermittent bilateral lower extremities edema. Physical examination revealed mildly enlarged thyroid. Patient underwent a computed tomography scan of the chest with intravenous iodinated contrast medium to rule out pulmonary embolism, the patient developed a thyroid storm second to iodinated contrast medium injection. Proper treatment was provided and the patient had a good outcome. We present this case of an unusual presentation of a thyroid storm with cardiac arrest. This case illustrates that evaluating thyroid function tests in patients with an enlarged thyroid prior to the administration of iodinated contrast medium could prevent the development of thyroid storm. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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