Pediatric airway compromise due to thyroid storm associated with influenza A infection: A case report

• Higaki, Taiki

• Tsukahara, Kohei

• Obara, Takafumi

• Nojima, Tsuyoshi

• Yamamoto, Hirotsugu

• Osako, Takaaki

• Naitou, Hiromichi

• Nakao, Atsunori

抄録

Thyroid storm is a potentially fatal intensification of thyrotoxicosis normally marked by tachycardia, hyperthermia, impaired mental status, and severe agitation. It can be initiated by numerous causes. Failure to promptly diagnose the condition may lead to high mortality. Early diagnosis and treatment of thyroid storm are essential to prevent further life-threatening complications. A 10-year-old girl was admitted to our emergency center for intensive care. The patient presented tachypnea with stridor, paradoxical abdominal breathing, and “barking” cough. The patient was diagnosed as upper airway obstruction complicated by thyroid storm associated with influenza infection. Following immediate airway management, the patient was administered a short-acting beta-blocker, hydrocortisone, thiamazole, and saturated solution of potassium iodide was initiated. The patient was extubated on day 8 and transferred to a local hospital on day 11 without adverse complications. When examining patients with influenza infection, emergency doctors should be more attentive not to miss other critical diagnoses. The present case was initially diagnosed as croup due to influenza infection. Sharing our experience may help emergency physicians treat similar cases of pediatric airway compromise due to thyroid storm.

収録刊行物

• Respiratory Medicine Case Reports

  Respiratory Medicine Case Reports 31 101182-, 2020-08-04

  Elsevier

キーワード

• Thyroid storm
• Influenza A virus
• Airway obstruction
• Case report

詳細情報

• CRID: 1051693803411562752
• NII論文ID: 120006891202
• ISSN: 22130071
• Web Site: https://ousar.lib.okayama-u.ac.jp/60447
• 本文言語コード: en
• 資料種別: journal article
• データソース種別:
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  • CiNii Articles