In the eye of the storm: Iodinated contrast medium induced thyroid storm presenting as cardiopulmonary arrest
In the eye of the storm: Iodinated contrast medium induced thyroid storm presenting as cardiopulmonary arrest
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DOI：
10.1016/j.hrtlng.2013.04.002
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发表时间：
2013-07-01
期刊：
影响因子：
2.8
通讯作者：
Odeyemi, Olutunde
中科院分区：
文献类型：
--
作者：
Alkhuja, Samer;Pyram, Ronald;Odeyemi, Olutunde
碘化造影剂给药可能导致游离甲状腺激素释放过量，引起甲状腺风暴。一名妇女因呼吸困难、咯血和间歇性双下肢水肿到急诊室就诊。体格检查显示甲状腺轻度肿大。患者使用静脉碘化造影剂进行胸部计算机断层扫描以排除肺栓塞，患者在碘化造影剂注射后发生甲状腺风暴。提供了适当的治疗，患者结局良好。我们提出这种情况下，一个不寻常的介绍甲状腺风暴与心脏骤停。该病例说明，在给予碘化造影剂之前对甲状腺肿大患者进行甲状腺功能检查可以预防甲状腺风暴的发生。(C)2013 Elsevier Inc. All rights reserved.
The administration of iodinated contrast medium may lead to excess free thyroid hormone release and cause thyroid storm. A woman presented to the emergency department with dyspnea, hemoptysis, and intermittent bilateral lower extremities edema. Physical examination revealed mildly enlarged thyroid. Patient underwent a computed tomography scan of the chest with intravenous iodinated contrast medium to rule out pulmonary embolism, the patient developed a thyroid storm second to iodinated contrast medium injection. Proper treatment was provided and the patient had a good outcome. We present this case of an unusual presentation of a thyroid storm with cardiac arrest. This case illustrates that evaluating thyroid function tests in patients with an enlarged thyroid prior to the administration of iodinated contrast medium could prevent the development of thyroid storm. (C) 2013 Elsevier Inc. All rights reserved.