{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T08:52:41Z","timestamp":1788079961472,"version":"build-2784847793"},"reference-count":13,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,14]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>A thyroid storm (or thyroid crisis) is an emergency in endocrinology. It is a form of complication of hyperthyroidism that can be life-threatening. Inadequate control of hyperthyroidism in pregnancy could develop into thyroid storm, especially in the peripartum period. We present a woman came in the second stage of labour, with thyroid storm, superimposed pre-eclampsia, acute lung oedema and impending respiratory failure. Treatment for thyroid storm, pre-eclampsia protocol and corticosteroid was delivered. The baby was born uneventfully, while the mother was discharged after 5\u2009days of hospitalisation. Delivery is an important precipitant in the development of thyroid storm in uncontrolled hyperthyroidism in pregnancy. Although very rare, it can cause severe consequences. Diagnosis and treatment guidelines for thyroid storm were available and should be done aggressively and immediately. Uncontrolled hyperthyroidism should be prevented by adequate control in thyroid hormone levels, especially before the peripartum period.<\/jats:p>","DOI":"10.1136\/bcr-2021-243159","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T13:00:16Z","timestamp":1626872416000},"page":"e243159","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Thyroid storm in the second stage of labour: a case report"],"prefix":"10.1136","volume":"14","author":[{"given":"Yudianto Budi","family":"Saroyo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia; Dr. Cipto Mangunkusumo General Hospital, Jakarta Pusat, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3552-1610","authenticated-orcid":false,"given":"Achmad Kemal","family":"Harzif","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia; Dr. Cipto Mangunkusumo General Hospital, Jakarta Pusat, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beryliana Maya","family":"Anisa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia; Dr. Cipto Mangunkusumo General Hospital, Jakarta Pusat, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fistyanisa Elya","family":"Charilda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia; Dr. Cipto Mangunkusumo General Hospital, Jakarta Pusat, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,21]]},"reference":[{"key":"2025082712032146000_14.7.e243159.1","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.13005\/bpj\/1495","article-title":"Diagnosis and comprehensive management of thyroid storm in pregnancy: a case report","volume":"11","author":"Prabawa","year":"2018","journal-title":"Biomed Pharmacol J"},{"key":"2025082712032146000_14.7.e243159.2","doi-asserted-by":"publisher","DOI":"10.1210\/er.2009-0041"},{"key":"2025082712032146000_14.7.e243159.3","doi-asserted-by":"crossref","unstructured":"Warnock AL , Cooper DS , Burch HB . Life-threatening thyrotoxicosis. Endocrine and Metabolic Medical Emergencies: A Clinician\u2019s Guide 2018;20:269.","DOI":"10.1002\/9781119374800.ch16"},{"key":"2025082712032146000_14.7.e243159.4","doi-asserted-by":"crossref","first-page":"e9606","DOI":"10.1097\/MD.0000000000009606","article-title":"Impending thyroid storm in a pregnant woman with undiagnosed hyperthyroidism","volume":"97","author":"Ma","year":"2018","journal-title":"Medicine"},{"key":"2025082712032146000_14.7.e243159.5","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2016.0229"},{"key":"2025082712032146000_14.7.e243159.6","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1002\/ccr3.422","article-title":"Acute respiratory failure due to thyroid storm developing immediately after delivery","volume":"3","author":"Kitazawa","year":"2015","journal-title":"Clin Case Rep"},{"key":"2025082712032146000_14.7.e243159.7","doi-asserted-by":"crossref","first-page":"2953","DOI":"10.12998\/wjcc.v7.i19.2953","article-title":"Hyperthyroid heart disease in pregnancy: retrospective analysis of a case series and review of the literature","volume":"7","author":"Shan","year":"2019","journal-title":"World J Clin Cases"},{"key":"2025082712032146000_14.7.e243159.8","doi-asserted-by":"publisher","DOI":"10.1177\/2042018810382481"},{"key":"2025082712032146000_14.7.e243159.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39462.709005.AE"},{"key":"2025082712032146000_14.7.e243159.10","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000009606","article-title":"Impending thyroid storm in a pregnant woman with undiagnosed hyperthyroidism: a case report and literature review","volume":"97","author":"Ma","year":"2018","journal-title":"Medicine"},{"key":"2025082712032146000_14.7.e243159.11","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1159\/000092454","article-title":"Congenital hyperthyroidism: the fetus as a patient","volume":"65","author":"Polak","year":"2006","journal-title":"Horm Res Paediatr"},{"key":"2025082712032146000_14.7.e243159.12","first-page":"1","article-title":"Management of Neonates Born to Mothers With Graves\u2019 Disease","volume":"137","author":"Danielle","year":"2016","journal-title":"American Academic of Pediatric J"},{"key":"2025082712032146000_14.7.e243159.13","first-page":"2543","article-title":"Management of Thyroid Dysfunction During Pregnancy and Post-Partum : An Endocrine Society Clinical Practice Guideline","volume":"97","author":"Ablovic","year":"2017","journal-title":"J Clin Endocrinol Metab"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:03:27Z","timestamp":1756321407000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":13,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,21]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-243159"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243159","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}