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  • Title: Abdominal pain and multi-organ dysfunction syndrome in a young woman.
    Author: Hsiao FC, Hung YJ, Hsieh CH, Wu LY, Shih KC, He CT.
    Journal: Am J Med Sci; 2007 Nov; 334(5):399-401. PubMed ID: 18004097.
    Abstract:
    Thyroid storm is a rare but life-threatening condition caused by exaggerated thyrotoxic manifestations. Untreated thyroid storm is fatal, and the case fatality rate is 21% to 30%. The most important clinical management in thyroid storm is early recognition and treatment. We present the case of a previously healthy young woman in whom suspected gastrointestinal tract sepsis complicated by multi-organ dysfunction syndrome masked the major symptomatology of thyroid storm. This patient highlights the importance of a high clinical suspicion for potentially life-threatening conditions, such as thyroid storm, even in the absence of clinical clues (exophthalmos, lid lag, and goiter) or a history of thyrotoxicosis.
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