Impending tyroid storm


Pretika Prameswari
Mohamad Fadli


Thyroid storm is an emergency and requires immediate treatment. Diagnosing thyroid storm is difficult because of its clinical symptoms that mimic infection such as tachycardia, high fever, and sometimes shortness of breath. This study employs a case study approach. The research subjects were patients with impending thyroid storm. The research location is in the Emergency Unit of Cibinong Hospital. Data analysis techniques using literature studies. In this case, a 30-year-old man at the Emergency Unit of Cibinong Hospital presented a clinical Impending Thyroid Storm with multi-organ involvement including Thyroid Heart Disease in the form of Atrial Fibrillation, gastrointestinal complaints, Hypoglycemia accompanied by Respiratory Failure. The patient has been diagnosed with Graves Disease for 5 years. Treatment for this patient includes correction of hypoglycemia, diuretics and digoxin. Propylthiouracil (PTU) and Propranolol were given when the FT4 and TSH results were out. After being treated with this therapy, clinically improved, marked by reduced tightness, fever and palpitations. On the ecg examination, atrial fibrillation was not found again. Recognizing Thyroid Storm as early as possible can prevent the severity of complications. Hypoglycemia correction is no less important. PTU therapy, Propranolol, Furosemide, Spironolactone and Digoxin are still good therapeutic modalities to be used, especially in type B hospitals.


Author Biography

Mohamad Fadli, Universitas Trisakti, Indonesia

Fakultas kedokteran Universitas Trisakti

How to Cite
Prameswari, P. and Fadli, M. (2022) “Impending tyroid storm”, Science Midwifery, 10(5), pp. 4314-4320. doi: 10.35335/midwifery.v10i5.1042.


Arifandi, maya devi. (2018). Badai Tiroid. Amenore Primer, 21(CMML).
Blanco Carrera, C., Cabañas-Durán, M., Tasende Fernández, C., & Rubio García, J. A. (2020). Thyrotoxicosis and hyperthyroidism. Medicine (Spain), 13(13).
Cronje, J. C. (2020). Designing Questions for Research Design and Design Research in e‑Learning. Electronic Journal of E-Learning, 18(1), pp13-24.
de Mul, N., Damstra, J., Nieveen van Dijkum, E. J. M., Fischli, S., Kalkman, C. J., Schellekens, W. J. M., & Immink, R. V. (2021). Risk of perioperative thyroid storm in hyperthyroid patients: a systematic review. In British Journal of Anaesthesia (Vol. 127, Issue 6).
Fryer, L. K., & Dinsmore, D. L. (2020). The Promise and Pitfalls of Self-report: Development, research design and analysis issues, and multiple methods. Frontline Learning Research, 8(3), 1–9.
Ishihara, Y., Sugawa, T., Kaneko, H., Hiroshima-Hamanaka, K., Amano, A., Umakoshi, H., Tsuiki, M., Kusakabe, T., Satoh-Asahara, N., Shimatsu, A., & Tagami, T. (2019). The delayed diagnosis of thyroid storm in patients with psychosis. Internal Medicine, 58(15).
Kartika, O. D., Ratunanda, S. S., & Madiadipoera, T. (2018). Rinosinusitis Alergi pada Hipertiroidisme. Jurnal Sistem Kesehatan, 4(1).
Keyal, N. K., Nepal, N., & Khanal, S. (2020). Thyroid storm presenting as septic shock in the intensive care unit: A case series. Journal of the Nepal Medical Association, 58(221).
Milani, N., Najafpour, M., & Mohebbi, M. (2021). Case series: Rare cases of thyroid storm in COVID-19 patients. Clinical Case Reports, 9(9).
Novodvorsky, P., & Allahabadia, A. (2021). Thyrotoxicosis. In Medicine (United Kingdom) (Vol. 49, Issue 8).
Rao, A. N., Al-Ward, R. Y., & Gaba, R. (2021). Thyroid Storm in a Patient With COVID-19. AACE Clinical Case Reports, 7(6).
Rodriguez, L., & Arzeno, L. (2017). From fearing weight gain to tyroid storm. Thyroid, 27.
Senda, A., Endo, A., Tachimori, H., Fushimi, K., & Otomo, Y. (2020). Early administration of glucocorticoid for thyroid storm: analysis of a national administrative database. Critical Care, 24(1).
Sharma, A., & Stan, M. N. (2019). Thyrotoxicosis: Diagnosis and Management. In Mayo Clinic Proceedings (Vol. 94, Issue 6).
Sugiyono. (2017). metode penelitian kualntitaltif, kuallitaltif,daln R&D. Alfabeta.
Sugiyono. (2018). Metode Penelitian Kualitatif, Kuantitatif, dan R&D. CV.Alfabeta.
Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (1st ed.). Penerbit Alfabeta.
Sukmawati, E. (2018). wahyunita yulia sari, indah sulistyoningrum. Farmakologi Kebidanan. Trans Info Media (TIM).
Sukmawati E, wahyunita yulia sari, & indah sulistyoningrum. (2018). Farmakologi Kebidanan. Trans Info Media (TIM).
Sullivan, K., Helgeson, J., & McGowan, A. (2021). COVID-19 Associated Thyroid Storm: A Case Report. Clinical Practice and Cases in Emergency Medicine, 5(4).
Syahrul, M. Z., & Jasmine, N. (2019). Tata Laksana Anestesi pada Sectio Caesar Pasien G4P3A0H3 gravid aterm 38-39 minggu dengan Hipertiroid. Jurnal Kesehatan Andalas, 8(1).
Tan, A. W. K., Lim, B. S. P., Hoe, J. K. M., Hoi, W. H., & Leow, M. K. S. (2021). Therapeutic plasma exchange for control of thyroid storm. Journal of Clinical Apheresis, 36(1).
Yap, P. S., Ali, O., Truran, P., & Aspinall, S. (2020). Thyrotoxicosis and thyroiditis. In Surgery (United Kingdom) (Vol. 38, Issue 12).