• Am. J. Med. Sci. · Nov 2007

    Case Reports

    Abdominal pain and multi-organ dysfunction syndrome in a young woman.

    • Fone-Ching Hsiao, Yi-Jen Hung, Chang-Hsun Hsieh, Ling-Yi Wu, Kuang-Chung Shih, and Chih-Tsueng He.
    • Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
    • Am. J. Med. Sci. 2007 Nov 1;334(5):399-401.

    AbstractThyroid storm is a rare but life-threatening condition caused by exaggerated thyrotoxic manifestations. Untreated thyroid storm is fatal, and the case fatality rate is 21% to 30%. The most important clinical management in thyroid storm is early recognition and treatment. We present the case of a previously healthy young woman in whom suspected gastrointestinal tract sepsis complicated by multi-organ dysfunction syndrome masked the major symptomatology of thyroid storm. This patient highlights the importance of a high clinical suspicion for potentially life-threatening conditions, such as thyroid storm, even in the absence of clinical clues (exophthalmos, lid lag, and goiter) or a history of thyrotoxicosis.

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