24 August 2023: Articles
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 A , Hamza Chaudhry A , Ezzeddin Abdulsalam Ibrahim A , Marwa Mokhtar B , Hani Jaouni A , Ibrahim Fawzy Hassan D , Ayman El-Menyar A* , Ahmed Labib Shehatta ADOI: 10.12659/AJCR.940672
Am J Case Rep 2023; 24:e940672
Table 3. T3 and T4 levels before and after therapeutic plasmapheresis (TPE) session and just before surgery.
| T3 | T4 | Note | |||
|---|---|---|---|---|---|
| Initial on admission | Before surgery | Initial on admission | Before surgery | ||
| Patient 1 | 52.7 | 34.9 | 14.3 | 8.9 | No antithyroid medications was given, received only TPE |
| Patient 2 | 6.6 | 3.2 | 38.9 | 28.3 | No antithyroid medications was given, received only TPE |
| Patient 3 | 15.9 | 4.9 | 89.9 | 28.4 | Patient received antithyroid medications for 7 days then stopped due to rising liver function tests then started TPE |
| Patient 4 | H 46.7 | N/A | 84.1 | 29.7 | – Patient received antithyroid medications for 1 days then stopped due to rising LFT then started TPE– Patient did not undergo thyroidectomy |