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Open Access 01-12-2022 | Thyrotoxicosis | Case report

Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves’ disease: a case report

Authors: Amanda W. Schaefer, Pedro J. Solorzano, Ana C. Mavarez, Gustavo M. Muñoz-Monaco

Published in: JA Clinical Reports | Issue 1/2022

Abstract

Background

Thyroid storm is a life-threatening manifestation of thyrotoxicosis and presents with fever, diaphoresis, tachycardia, hypertension, and widened pulse pressure.

Case presentation

We present a case of intraoperative thyroid storm in a 12-year-old female undergoing posterior spinal fusion. Despite adequate depth of anesthesia and analgesia, the patient was persistently tachycardic and hypertensive. The surgical procedure was uneventful. A thyroid panel drawn immediately after surgery showed undetectable thyroid stimulating hormone (TSH) and high free thyroxine (T4) consistent with thyroid storm.

Conclusions

Intraoperative thyroid storm in a pediatric patient is extremely rare with nonspecific clinical symptoms. Low to undetectable TSH and elevated free T4 is diagnostic.

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Title: Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves’ disease: a case report
Authors: Amanda W. Schaefer
Pedro J. Solorzano
Ana C. Mavarez
Gustavo M. Muñoz-Monaco
Publication date: 01-12-2022
Publisher: Springer Berlin Heidelberg
Keywords: Thyrotoxicosis
Tachyarrythmia
Malignant Hyperthermia
Malignant Hyperthermia
Hyperthyroidism
Hypertension
Hypertension
Hypertensive Crisis
Published in: JA Clinical Reports / Issue 1/2022
Electronic ISSN: 2363-9024
DOI: https://doi.org/10.1186/s40981-022-00543-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves’ disease: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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