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Hyperthyroidism and fulminant myocarditis in an adolescent with iodine-induced hyperthyroidism: A case report.

SAGE open medical case reports
May 5, 2024
Teng Fang Lai et al. (2 authors)
Case ReportsJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to investigate the relationship between iodine-induced hyperthyroidism and acute myocarditis in a patient with elevated thyroid hormone levels.

Results Summary

The study found that iodine-induced hyperthyroidism contributed to myocardial injury in the patient, but a low-iodine diet and supportive treatment led to recovery of cardiac and thyroid function. No pharmacologic intervention for hyperthyroidism was required.

Population

15-year-old male with acute fulminant myocarditis and iodine-induced hyperthyroidism.

Effective Dosage

Not specified (low-iodine diet advised).

Duration

6-month follow-up (intervention duration not specified).

Interactions

None mentioned.

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-iodine diet, medication, and supportive treatment
decrease
myocardial enzymes and troponin I levels
15-year-old male patient with acute fulminant myocarditis and iodine-induced hyperthyroidism
-
gradually decreased
#1
low-iodine diet, medication, and supportive treatment
increase
electrocardiography and echocardiography results
15-year-old male patient with acute fulminant myocarditis and iodine-induced hyperthyroidism
-
improved
#2
low-iodine diet, medication, and supportive treatment
increase
cardiac function
15-year-old male patient with acute fulminant myocarditis and iodine-induced hyperthyroidism
-
returned to normal
#3
low-iodine diet
increase
thyroid function and cardiac indicators
15-year-old male patient with acute fulminant myocarditis and iodine-induced hyperthyroidism
-
returned to normal
#4
Abstract

This paper describes the case of a 15-year-old male patient who exhibited chest distress and pain following an upper respiratory tract infection. Upon admission, the patient exhibited elevated levels of myocardial enzymes and troponin I. Electrocardiography revealed an acute inferior myocardial infarction. Coronary computed tomography angiography ruled out coronary stenosis; however, cardiac magnetic resonance imaging revealed myocardial congestion and edema. Subsequent examinations revealed increased thyroid hormone levels and decreased thyroid-stimulating hormone levels, which is consistent with the manifestations of hyperthyroidism. The patient was diagnosed with acute fulminant myocarditis accompanied by iodine-induced hyperthyroidism. The patient received no pharmacologic treatment for hyperthyroidism but was prescribed a low-iodine diet, medication, and supportive treatment. His myocardial enzymes and troponin I levels gradually decreased, his electrocardiography and echocardiography results improved, and his cardiac function returned to normal. The patient was discharged and advised to maintain a low-iodine diet. At the 6-month follow-up, the patient's thyroid function and cardiac indicators had returned to normal. This case demonstrates that myocardial injury can result from myocarditis and iodine-induced hyperthyroidism and highlights the importance of closely monitoring and assessing thyroid function during treatment.

Study Links
Quality Scores
Safety30
Efficacy50/10
Quality40/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.25
Weight Score2.00
Normalized Score0.40
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