RESUMO
Thyroid dysfunction is one of the more prevalent clinical situations encountered by primary care physicians. Thyroid storm is defined as a life-threatening exacerbation of the hyperthyroid state in which there is evidence of decompensation of one or more organ systems. Common precipitants include infection, surgery, diabetic ketoacidosis, vascular accidents, non-compliance with antithyroid medication, and emotional stress, but rarely develop in invasive molar pregnancy. An 18-year-old woman presented to the emergency department complaining of lower abdominal pain and vaginal spotting. She had no previous history of hyperthyroidism. Under the diagnosis of invasive molar pregnancy, dilatation and curettage was performed. However, right after the procedure the patient developed a semi-coma metal status, high grade fever, and tachycardia. Prompt diagnosis of thyroid storm was made and treatment followed immediately. We present a case of thyroid storm and a review of thyroid storm precipitated by invasive molar pregnancy.
Assuntos
Adolescente , Feminino , Humanos , Gravidez , Dor Abdominal , Cetoacidose Diabética , Diagnóstico , Dilatação e Curetagem , Dilatação , Serviço Hospitalar de Emergência , Febre , Mola Hidatiforme , Hipertireoidismo , Metrorragia , Dente Molar , Médicos de Atenção Primária , Estresse Psicológico , Taquicardia , Crise Tireóidea , Glândula TireoideRESUMO
No abstract available.
