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Acute respiratory failure due to thyroid storm developing immediately after delivery
Chie Kitazawa1, Shigeru Aoki1, Tsuneo Takahashi1
1Perinatal Center for Maternity and Neonate Yokohama City University Medical Center Yokohama Japan.
Clinical Case Reports
|January 7, 2016
Summary
Thyroid storm is a rare but serious cause of acute respiratory failure after childbirth. Pregnant women with thyrotoxicosis face increased risk, necessitating its consideration in postpartum respiratory distress.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Critical Care Medicine
Background:
- Acute respiratory failure (ARF) is uncommon during pregnancy, affecting less than 0.1% of cases.
- Thyrotoxicosis, a condition of excess thyroid hormone, poses significant risks during pregnancy.
Observation:
- Delivery represents a critical period for the onset of thyroid storm.
- Thyroid storm is a life-threatening exacerbation of thyrotoxicosis.
Findings:
- Thyroid storm should be considered in the differential diagnosis of postpartum acute respiratory failure.
- Postpartum ARF in women with a history of thyrotoxicosis warrants evaluation for thyroid storm.
Implications:
- Early recognition and management of thyroid storm are crucial for maternal survival.
- This highlights the importance of vigilant monitoring of pregnant and postpartum women with thyrotoxicosis.
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