Thyroid storm precipitated by organophosphate intoxication

Common precipitants include infection, acute emotional stress, trauma, vigorous palpitation of thyroid gland, surgery, discontinuation of antithyroid drug therapy, high-dose iodine administration, ingestion of thyroid hormone, parturition, and other acute medical illness [2]. In the patient with OP...

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Published inThe American journal of emergency medicine Vol. 25; no. 7; pp. 861.e1 - 861.e3
Main Authors Yuan, Yao-Dong, MD, Seak, Chen-June, MD, Lin, Chih-Chuan, MD, Lin, Leng-Jye, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2007
Elsevier Limited
Subjects
Adult
Emergency
Emergency medical care
Female
Hormones
Humans
Hypertension
Infections
Ingestion
Intoxication
Iodine
Organophosphate Poisoning
Organophosphates
Pesticides
Pesticides - poisoning
Thyroid
Thyroid Crisis - chemically induced
Thyroid Crisis - diagnosis
Thyroid Crisis - therapy
Thyroid gland
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Summary:Common precipitants include infection, acute emotional stress, trauma, vigorous palpitation of thyroid gland, surgery, discontinuation of antithyroid drug therapy, high-dose iodine administration, ingestion of thyroid hormone, parturition, and other acute medical illness [2]. In the patient with OP poisoning, diagnosis of thyroid storm is difficult because they share many of the same physical findings such as tachycardia, hypertension, altered mental status, muscle weakness, tremor, and diarrhea. [...]hyperthermia is rarely seen in patients with OP intoxication. [...]hyperthermia may be a clue to distinguish thyroid storm from OP intoxication if there is no other evidence of infection presented.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2007.02.014