Korean J Obstet Gynecol.  2001 Oct;44(10):1913-1917.

A Case of T3 Thyrotoxicosis developed after Cesarean Section

• Sung YM
• Yoon SS
• Koo MK
• Hwang JH
• Park MI
• Chung SR
• Hwang YY
• Moon H
• Lee JU
• Ahn YH

Abstract

Thyroid storm (thyrotoxicosis) is rarely encountered during pregnancy or the puerperium, even in untreated women and characterized by hypertension, hyperthermia, and multiple systems involvement. Much more common is heart failure, apparently caused by the long-term myocardial effects of thyroid hormone and intensified by other pregnancy complications that include severe preeclampsia, infection, anemia, or combinations of these. Prompt diagnosis and treatment of thyroid storm are essential in reducing morbidity and mortality of a patient from this disorder. We experienced a case of triiodothyroxine induced thyroid storm (T3 thyrotoxicosis) developed after Cesarean section. This case highlights both physicians should be aware of the symptoms and risk factors and reversing of heart failure successfully by reducing cardiac workload is important through immediate medical treatment - adequate hydration, thermoregulation, and control of hypertension, infection and anemia et al.

Keyword

T3 thyrotoxicosis; Graves disease; Cesarean section

MeSH Terms

Anemia
Body Temperature Regulation
Cesarean Section*
Diagnosis
Female
Fever
Graves Disease
Heart Failure
Humans
Hypertension
Mortality
Postpartum Period
Pre-Eclampsia
Pregnancy
Pregnancy Complications
Risk Factors
Thyroid Crisis
Thyroid Gland
Thyrotoxicosis*