THYROID STORM AFTER IODINE EXCESS - A CAS E WITH LETHAL OUTCOME

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