دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves’ disease: a case report
المؤلفون: Amanda W. Schaefer, Pedro J. Solorzano, Ana C. Mavarez, Gustavo M. Muñoz-Monaco
المصدر: JA Clinical Reports, Vol 8, Iss 1, Pp 1-5 (2022)
بيانات النشر: SpringerOpen, 2022.
سنة النشر: 2022
المجموعة: LCC:Anesthesiology
LCC:Medical emergencies. Critical care. Intensive care. First aid
مصطلحات موضوعية: Thyroid storm, Thyrotoxicosis, Graves’ disease, Pediatrics, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
الوصف: 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.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2363-9024
العلاقة: https://doaj.org/toc/2363-9024Test
DOI: 10.1186/s40981-022-00543-2
الوصول الحر: https://doaj.org/article/e81aa98dbd7b4b4b9441dd0b221c3c3dTest
رقم الانضمام: edsdoj.81aa98dbd7b4b4b9441dd0b221c3c3d
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23639024
DOI:10.1186/s40981-022-00543-2