Journal of

Case Reports and Images in Medicine

 
  Table of Contents    
Case Report
 
Hyperthyroidism associated with an increased risk for infection: A case report
Andrew Dookhan1, Hiren Patel1, Mihir Patel1, Kaival Patel2, James Bass2, Abhinav Sinha3
1MS-IV at Spartan Health Sciences University.
2MS-III at Spartan Health Sciences University.
3MD - Chief Director of Medicine at North Vista Hospital.

Article ID: 100020Z09AD2016
doi:10.5348/Z09-2016-20-CR-13

Address correspondence to:
Andrew Dookhan
197 Tysen Street, Staten Island
NY 10301

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article:
Dookhan A, Patel H, Patel M, Patel K, Bass J, Sinha A. Hyperthyroidism associated with an increased risk for infection: A case report. J Case Rep Images Med 2016;2:55–58.


Abstract
Introduction: Infection risk associated with hyperthyroidism although not uncommon, may present with increased mortality if left untreated. The role of hyperthyroidism and its risk for infection is primarily due to the hypermetabolic effect on the body. Modification to the sympathetic nervous system produces a downregulation of the neutrophil response towards the sites of inflammation and/or infection. Consequently, remarkably increasing the risk for complications of infections to occur i.e., bacterial pneumonia.
Case Report: A 34-year-old Caucasian female presented to the emergency room complaining of tachycardia, isolated systolic hypertension, tremors, dyspnea, fever, chills, and productive cough with yellow-brown sputum for five days. She reported several similar episodes have occurred in the past. A clinical diagnosis of hyperthyroidism with thyroid storm induced pneumonia was made by the physician and the patient was admitted to the ICU for treatment and close monitoring. Urinary antigen testing detected a positive result for Streptococcus pneumoniae or pneumococcal pneumonia to confirm the pneumonia and treatment was initiated.
Conclusion: The role of hyperthyroidism and its risk for infection causes devastating infectious complications, such as pneumonia, an example that this patient experienced along with having similar episodes in the past but without causality to account for why they are recurrent. Clinical suspicion for diagnosing hyperthyroidism will vastly aid in the management of patient's more effectively and hopefully avoid any infectious complication that may result. It is entirely important that these patients should be closely monitored to help prevent any further complications that may present upon admission.

Keywords: Hyperthyroidism, Infection, Pneumonia, Thyroid storm


[HTML Full Text]   [PDF Full Text]

Author Contributions
Andrew Dookhan – Substantial contributions to conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hiren Patel – Substantial contributions to conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mihir Patel – Substantial contributions to conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kaival Patel – Substantial contributions to conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
James Bass – Substantial contributions to conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abhinav Sinha – Substantial contributions to conception and design, Acquisition and analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Andrew Dookhan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Home line About the Journal line Aim and Scope line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.