Thyroid storm presenting as multiple organ dysfunction syndrome

Thyroid storm is a rare disorder characterized by hypertension, hyperthermi a, and multiple systems involvement. Early recognition and treatment of thy roid storm are essential in reducing morbidity and mortality from this diso rder. We present the case of a patient with an atypical (normothermic, norm otensive) presentation of thyroid storm, accompanied by multiple organ dysf unction syndrome, including lactic acidosis and liver dysfunction, both of which are very rare complications. This case highlights both the multiple o rgan systems that can be involved in thyroid storm and the importance of re cognizing atypical presentations of thyroid storm.