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In the eye of the storm: iodinated contrast medium induced thyroid storm presenting as cardiopulmonary arrest

Samer Alkhuja1, Ronald Pyram, Olutunde Odeyemi

  • 1Department of Medicine, Pocono Medical Center, The Commonwealth Medical College, East Stroudsburg, PA 18301 USA. alkhuja@yahoo.com

Heart & Lung : the Journal of Critical Care
|May 29, 2013
PubMed

Insights

Iodinated contrast media can trigger thyroid storm in patients with underlying thyroid issues. Pre-procedure thyroid function tests in patients with enlarged thyroids can prevent this serious complication.

Area of Science:

  • Endocrinology
  • Radiology
  • Emergency Medicine

Background:

  • Iodinated contrast media administration can precipitate thyroid storm.
  • Thyroid storm is a life-threatening condition characterized by hyperthyroidism.
  • Identifying at-risk patients is crucial for preventing contrast-induced thyroid storm.

Observation:

  • A patient presented with symptoms including dyspnea and edema.
  • Physical examination revealed a mildly enlarged thyroid gland.
  • The patient developed thyroid storm following a computed tomography scan with iodinated contrast.

Findings:

  • Contrast-induced thyroid storm can present unusually, even with cardiac arrest.
  • Prompt medical treatment led to a positive patient outcome.
  • This case highlights the risk of thyroid storm after contrast administration.

Implications:

  • Screening thyroid function tests in patients with enlarged thyroids before contrast administration is recommended.
  • This proactive approach may prevent contrast-induced thyroid storm.
  • Early detection and management are key for favorable outcomes in thyroid storm cases.

Keywords:
Acute respiratory failureCardiac arrestHyperthyroidismThyroid stormThyrotoxicosis

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