Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure

Introduction: Seizures are a common presenting complaint and account for approximately 1% of total emergency department (ED) visits. Seizures are especially common in children less than five years old as they have a lower seizure threshold as compared to adults. One potentially dangerous etiology th...

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Main Authors: Daniel J. Klein, Emily Rose
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2024-01-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/9500t8m2
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author Daniel J. Klein
Emily Rose
author_facet Daniel J. Klein
Emily Rose
author_sort Daniel J. Klein
collection DOAJ
description Introduction: Seizures are a common presenting complaint and account for approximately 1% of total emergency department (ED) visits. Seizures are especially common in children less than five years old as they have a lower seizure threshold as compared to adults. One potentially dangerous etiology that is far less common, especially in children, is thyroid storm, the extreme manifestation of hyperthyroidism. Case Report: We describe the case of a 3-year-old girl who presented to the ED with an afebrile seizure but was found to be in thyroid storm. This case should serve as a reminder for emergency physicians to consider thyroid disease when evaluating patients presenting with seizures. Conclusion: Although most pediatric seizures are self-limited and frequently benign, it is imperative that the emergency physician evaluate for and rule out any potentially associated dangerous conditions such as thyroid storm.
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spelling doaj.art-bd6a5a5714384909a95634d56ca0ab912024-03-28T13:53:10ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2024-01-01815810.5811/cpcem.13591359Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile SeizureDaniel J. Klein0Emily Rose1Los Angeles General Medical Center, Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, CaliforniaLos Angeles General Medical Center, Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, CaliforniaIntroduction: Seizures are a common presenting complaint and account for approximately 1% of total emergency department (ED) visits. Seizures are especially common in children less than five years old as they have a lower seizure threshold as compared to adults. One potentially dangerous etiology that is far less common, especially in children, is thyroid storm, the extreme manifestation of hyperthyroidism. Case Report: We describe the case of a 3-year-old girl who presented to the ED with an afebrile seizure but was found to be in thyroid storm. This case should serve as a reminder for emergency physicians to consider thyroid disease when evaluating patients presenting with seizures. Conclusion: Although most pediatric seizures are self-limited and frequently benign, it is imperative that the emergency physician evaluate for and rule out any potentially associated dangerous conditions such as thyroid storm.https://escholarship.org/uc/item/9500t8m2
spellingShingle Daniel J. Klein
Emily Rose
Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure
Clinical Practice and Cases in Emergency Medicine
title Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure
title_full Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure
title_fullStr Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure
title_full_unstemmed Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure
title_short Case Report: Pediatric Thyroid Storm Presenting to the Emergency Department with Afebrile Seizure
title_sort case report pediatric thyroid storm presenting to the emergency department with afebrile seizure
url https://escholarship.org/uc/item/9500t8m2
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AT emilyrose casereportpediatricthyroidstormpresentingtotheemergencydepartmentwithafebrileseizure