Out of the blue! Thyroid crisis

A 45-year-old male patient with an irregularly irregular rhythm and fast ventricular rate was posted for an emergency laparotomy for hollow viscus perforation. His history was not suggestive of any systemic disorders. An echocardiography revealed left ventricular dysfunction with an ejection fractio...

Descripción completa

Detalles Bibliográficos
Autores principales: Parasa, Mrunalini, Chinthakunta, Bala Kusuma Kumari, Vemuri, Nagendra Nath, Shaik, Mastan Saheb
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383116/
https://www.ncbi.nlm.nih.gov/pubmed/25886440
http://dx.doi.org/10.4103/0259-1162.150179
_version_ 1782364681594208256
author Parasa, Mrunalini
Chinthakunta, Bala Kusuma Kumari
Vemuri, Nagendra Nath
Shaik, Mastan Saheb
author_facet Parasa, Mrunalini
Chinthakunta, Bala Kusuma Kumari
Vemuri, Nagendra Nath
Shaik, Mastan Saheb
author_sort Parasa, Mrunalini
collection PubMed
description A 45-year-old male patient with an irregularly irregular rhythm and fast ventricular rate was posted for an emergency laparotomy for hollow viscus perforation. His history was not suggestive of any systemic disorders. An echocardiography revealed left ventricular dysfunction with an ejection fraction of 47% without any valvular or chamber abnormality. Thyromegaly noticed during placement of central venous catheter was suspected to be the etiology for his cardiovascular status and was successfully managed. Thyroid crisis in an undiagnosed case of hyperthyroidism poses a diagnostic and therapeutic challenge. Timely and aggressive management is essential to correct the homeostatic decompensation characteristic of thyroid storm.
format Online
Article
Text
id pubmed-4383116
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-43831162015-04-13 Out of the blue! Thyroid crisis Parasa, Mrunalini Chinthakunta, Bala Kusuma Kumari Vemuri, Nagendra Nath Shaik, Mastan Saheb Anesth Essays Res Case Report A 45-year-old male patient with an irregularly irregular rhythm and fast ventricular rate was posted for an emergency laparotomy for hollow viscus perforation. His history was not suggestive of any systemic disorders. An echocardiography revealed left ventricular dysfunction with an ejection fraction of 47% without any valvular or chamber abnormality. Thyromegaly noticed during placement of central venous catheter was suspected to be the etiology for his cardiovascular status and was successfully managed. Thyroid crisis in an undiagnosed case of hyperthyroidism poses a diagnostic and therapeutic challenge. Timely and aggressive management is essential to correct the homeostatic decompensation characteristic of thyroid storm. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4383116/ /pubmed/25886440 http://dx.doi.org/10.4103/0259-1162.150179 Text en Copyright: © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Parasa, Mrunalini
Chinthakunta, Bala Kusuma Kumari
Vemuri, Nagendra Nath
Shaik, Mastan Saheb
Out of the blue! Thyroid crisis
title Out of the blue! Thyroid crisis
title_full Out of the blue! Thyroid crisis
title_fullStr Out of the blue! Thyroid crisis
title_full_unstemmed Out of the blue! Thyroid crisis
title_short Out of the blue! Thyroid crisis
title_sort out of the blue! thyroid crisis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383116/
https://www.ncbi.nlm.nih.gov/pubmed/25886440
http://dx.doi.org/10.4103/0259-1162.150179
work_keys_str_mv AT parasamrunalini outofthebluethyroidcrisis
AT chinthakuntabalakusumakumari outofthebluethyroidcrisis
AT vemurinagendranath outofthebluethyroidcrisis
AT shaikmastansaheb outofthebluethyroidcrisis

Ejemplares similares