{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T16:12:29Z","timestamp":1778256749573,"version":"3.51.4"},"reference-count":13,"publisher":"The Endocrine Society","issue":"6","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Thyroid storm is a life-threatening condition characterized by excessive thyroid hormone activity, potentially leading to multiorgan failure. This case report describes a 67-year-old male with an unusual presentation of thyroid storm: elevated lactate and ketone levels, and acute heart failure. It highlights the importance of recognizing and promptly treating atypical manifestations to prevent adverse outcomes.<\/jats:p>","DOI":"10.1210\/jcemcr\/luag113","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:23:12Z","timestamp":1777288992000},"source":"Crossref","is-referenced-by-count":0,"title":["Breaking the mold: atypical lactate and ketone elevations in thyroid storm"],"prefix":"10.1210","volume":"4","author":[{"given":"Nudar","family":"Bhuiya","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, MetroHealth Medical Center, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH 44109 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baby Vasanthi","family":"Kodali","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MetroHealth Medical Center, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH 44109 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