TY - JOUR AU - Keyal, Niraj Kumar AU - Pokharel, Niru AU - Khanal, Sudesh PY - 2020/01/31 Y2 - 2024/03/29 TI - Thyroid storm presenting as septic shock in the intensive care unit: A Case Series JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 58 IS - 221 SE - Case Reports DO - 10.31729/jnma.4552 UR - https://www.jnma.com.np/jnma/index.php/jnma/article/view/4552 SP - AB - <p>Thyroid storm is a rare endocrine emergency that rarely presents with septic shock. It occurs in<br>thyrotoxic patients and is manifested by decompensation of multiple organs, triggered by severe<br>stress. The diagnosis and response to treatment is made by Burch-Wartofsky point scale or Japanese<br>thyroid association criteria due to lack of pathophysiology of thyroid storm. We reported series of<br>patients that presented with altered sensorium, cough, fever, palpitation, shortness of breath and<br>shock. Patient were treated initially for septic shock, later diagnosed as thyroid storm and was treated<br>with oral carbimazole, propanolol and digoxin. From this, we want to emphasize that thyroid storm<br>can have any presentation that should be kept in differential diagnosis of septic shock not responding<br>to usual treatment; early diagnosis and treatment with oral medication can decrease morbidity and<br>mortality in rural setting where intravenous form of antithyroid drug are not available for thyroid<br>storm.</p> ER -