Thyroid storm after mitral valve repair in a patient with Becker muscular dystrophy
| Autor: | Masahide Kawatou, Takeichiro Nakane, Kenji Minakata, Ryuzo Sakata, Kenji Minatoya, Kazuhiro Yamazaki |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Mitral regurgitation Mitral valve repair business.industry Incidence (epidemiology) medicine.medical_treatment Thyroid 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Oral administration Thyroid storm Medicine Muscular dystrophy Cardiology and Cardiovascular Medicine business |
| DOI: | 10.22541/au.160340480.04270056/v1 |
| Popis: | A 40-year-old male with Becker muscular dystrophy presented with severe mitral regurgitation and underwent mitral valve repair. Following the surgery, the patient became tachycardic, and developed a continuous high grade-fever and hyperbilirubinemia. The patient's condition worsened and we eventually tested his thyroid levels and discovered abnormally high thyroid levels. After diagnosing a severe thyroid storm, the patient was treated with oral administration of Lugol's iodine and thiamazole, as well as an intravenous steroid, which led to an immediate improvement of symptoms. The incidence of thyroid storm after open-heart surgery is extremely rare but highly life-threatening if unrecognized. |
| Databáze: | OpenAIRE |
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