Thyroid storm: extreme remedies for extreme diseases

Abstract

Thyroid storm is a hypermetabolic state due to acute elevation of thyroid hormones precipitated by multiple causes. It's a rare life threatening emergency, and failure of prompt aggressive treatment will lead to multiorgan dysfunction and complicate further treatment plans. In this report we described our experience of managing a severe thyroid storm patient with contraindication to carbimazole, the complexities encountered with conventional treatment methods and alternative aggressive remedy options.