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A Case Report of Post-Operative Jöd-Basedow Phenomennon Following Oral and IV Iodine Contrast Administration

Maureen Higgs1, Erroll Hull1, Eugenio Lujan1

  • 1Department of Anesthesia, Naval Medical Center, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.

Case Reports in Endocrinology
|April 10, 2014
PubMed

This is a case of thyrotoxicosis, due to the Jöd-Basedow phenomenon following administration of oral and IV iodinated contrast in a patient with history of gastrointestinal stromal tumor (GIST) and small bowel obstruction. The patient developed atrial fibrillation and had an extended stay in the intensive care unit. Given the aging population with possible subclinical hyperthyroidism, multinodular goiter, and the rise in contrast administration for routine diagnostic studies, this case serves to raise awareness of the risks of "routine" tests administered to our aging patient population.

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