[Thyrotoxic crisis after exposure to iodine. A case with fatal outcome].


A 78-year-old woman is presented with a multinodular toxic goiter and euthyroidism under continuous low-dose treatment with antithyroid drugs. A period of hyperthyroidism had been documented 3 years previously. In the preoperative management, prior to resection of a benign ovarian tumour, an intravenous urogram was performed. Perchlorate was given for thyroid protection. One day after surgery the clinical signs of thyroid storm were observed. Immediately, high-dose antithyroid drug therapy was started. Nevertheless, the patient died of acute cardiovascular failure 3 days later. This case report focuses on the risk of thyroid storm following iodine excess in the presence of relevant functional thyroid autonomy without adequate thyroid protection.

Cite this paper

@article{Blattmann1994ThyrotoxicCA, title={[Thyrotoxic crisis after exposure to iodine. A case with fatal outcome].}, author={Hans Blattmann and Michael J. Reinhardt and Carl Schuemichen and Ernst A. Moser}, journal={Der Radiologe}, year={1994}, volume={34 8}, pages={487-90} }