Thyroid Storm-Induced Refractory Multiorgan Failure Managed by Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case-Series

Mugahid Eltahir; Hamza Chaudhry; Ezzeddin Abdulsalam Ibrahim; Marwa Mokhtar; Hani Jaouni; Ibrahim Fawzy Hassan; Ayman El-Menyar; Ahmed Labib Shehatta

doi:10.12659/AJCR.940672

24 August 2023 : Case report Qatar

Thyroid Storm-Induced Refractory Multiorgan Failure Managed by Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case-Series

Unusual clinical course, Management of emergency care

Mugahid Eltahir^1ABDEF, Hamza Chaudhry^2ABDE, Ezzeddin Abdulsalam Ibrahim^1ABD, Marwa Mokhtar^3BD, Hani Jaouni^12ABCE, Ibrahim Fawzy Hassan^12DE, Ayman El-Menyar

^24ADE*, Ahmed Labib Shehatta

^12ADEF

DOI: 10.12659/AJCR.940672

Am J Case Rep 2023; 24:e940672

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Background Case Reports Discussion Conclusions References:

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Table 2. Laboratory tests and outcomes of the 4 cases.

	Patient 1	Patient 2	Patient 3	Patient 4	Reference range
TSH on presentation	0.03	0.01	0.01	0.005	0.65–3.7 mU/L
T4 on presentation	38	38.9	15.9	84	0.65–3.7 mU/L
Antithyroid peroxidase	Positive	Positive	Positive	Positive
Creatinine	323	172	81	184	54–101 µmol/L
Continuous renal replacement therapy	Yes	Yes	Yes	Yes
ALT	114	125	320	829	6–66 U/L
AST	283	93	753	4606	2–42 U/L
IgE count	1203	480	Not sent	Not sent	1.5–144 IU/mL
Plasmapheresis	3 sessions	3 sessions	3 sessions	3 sessions
Iodine before surgery	Received	Received	Received	Received
Thyroidectomy on ECMO support	Yes	Yes	5 days after decannulation	Thyroidectomy was not done
Duration of ECMO	4 days	6 days	5 days	9 days
Outcome	Discharged well	Discharged well	Discharged well	Deceased

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Thyroid Storm-Induced Refractory Multiorgan Failure Managed by Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case-Series

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