Malignant Hyperthermia Versus Thyroid Storm in a Patient With Symptomatic Graves Disease: A Case Report Journal Article

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Authors: Strowd, Sara M.; Majewski, Michael B.; Asteris, Jennifer
Article Title: Malignant Hyperthermia Versus Thyroid Storm in a Patient With Symptomatic Graves Disease: A Case Report
Abstract: Malignant hyperthermia and thyroid storm are intraoperative emergencies with overlapping symptoms but different treatment protocols. We faced this diagnostic dilemma in a 25-year-old patient with symptomatic hyperthyroidism, elevated free T3 and free T4, and low thyroid-stimulating hormone from Graves disease despite treatment with propranolol 80 mg daily and methimazole 40 mg every 8 hours. During thyroidectomy, he developed hyperthermia and hypercarbia without tachycardia. When the rate of rise of PaCO2 and temperature accelerated, we treated the patient for malignant hyperthermia, a diagnosis subsequently confirmed by genetic testing.
Journal Title: A&A practice
Volume: 10
Issue: 5
ISSN: 2575-3126
Publisher: Unknown  
Journal Place: United States
Date Published: 2018
Start Page: 97
End Page: 99
Language: eng
DOI/URL:

https://pubmed.ncbi.nlm.nih.gov/29028638

10.1213/XAA.0000000000000639
Notes: J2: A A Pract