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Case Reports in Endocrinology
Volume 2018 (2018), Article ID 4190629, 3 pages
Case Report

Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves’ Disease

1Department of Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USA
2Division of Endocrinology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA

Correspondence should be addressed to Marilyn A. Arosemena; gro.imaimshj@ocanemesora.nyliram

Received 8 November 2017; Accepted 12 December 2017; Published 2 January 2018

Academic Editor: Osamu Isozaki

Copyright © 2018 Jorge I. Conte et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Thyroid storm is the life-threatening end-organ manifestation of severe thyrotoxicosis. If left untreated, thyroid storm may cause acute heart failure, multiorgan dysfunction, and death. A high degree of suspicion is necessary to make the diagnosis and start antithyroid medications to decrease mortality. Thyroid storm is generally seen in patients with Graves’ disease but should also be suspected in patients with fever, tachycardia, altered mental status, and risk factors including local trauma to the neck, such as strangulation. Based on our review, we report the first case of thyroid storm after strangulation as the presentation of previously undiagnosed Graves’ disease.