{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:10:32Z","timestamp":1773274232385,"version":"3.50.1"},"reference-count":6,"publisher":"IMR Press","issue":"Sup9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:p>\n                    A 27-year-old man, who had type 1 diabetes, presented with agitation, confusion, vomiting and faecal incontinence. There was an abscess on his right upper arm at an insulin injection site (temperature 38.5\u00b0C, pulse 140 per minute, and blood pressure 125\/85 mmHg). Investigations included neutrophil count 13.6 \u00d710\n                    <jats:sup>9<\/jats:sup>\n                    \/litre, glucose 26 mmol\/litre, pH 7.4, free thyroxine (T\n                    <jats:sub>4<\/jats:sub>\n                    )&gt;77 pmol\/litre (normal range (NR) 9\u201322.7), thyroid-stimulating hormone (TSH) &lt;0.01 mu\/litre (NR 0.35\u20135). After sedation with haloperidol 15 mg intramuscularly, he was rehydrated with physiological saline and treated with intravenous (IV) cefotaxime 3 g three times daily, IV dexamethazone 2 mg twice daily, IV methimazole 15 mg two doses 8 hours apart (Favistan injection solution, Temmler Pharma, Marburg, Germany), labetolol 120 mg (infused over 1 hour twice daily), and an insulin infusion using up to 4 u\/hour.\n                  <\/jats:p>\n                  <jats:p>\n                    After 24 hours there was a marked clinical improvement with resolution of his agitation and confusion and his pulse rate was normal (T\n                    <jats:sub>4<\/jats:sub>\n                    22 pmol\/litre, TSH &lt;0.05 mU\/litre after 72 hours). He was discharged on carbimazole 60 mg daily and propranolol 20 mg four times daily, and had radio-iodine treatment (339 MBq) 6 months later. He is well on thyroxine 50 \u03bcg daily 2 years later.\n                  <\/jats:p>","DOI":"10.12968\/hmed.2006.67.sup9.22004","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T09:41:38Z","timestamp":1400838098000},"page":"492-493","source":"Crossref","is-referenced-by-count":2,"title":["Thyroid storm treated with intravenous methimazole in patients with gastrointestinal dysfunction"],"prefix":"10.31083","volume":"67","author":[{"given":"DJB","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Hillingdon Hospital, Uxbridge UB8 3NN,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Hardy","sequence":"additional","affiliation":[{"name":"Transplant Unit at Harefield and The Brompton Hospitals, Harefield,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Sarwar","sequence":"additional","affiliation":[{"name":"Transplant Unit at Harefield and The Brompton Hospitals, Harefield,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NR","family":"Banner","sequence":"additional","affiliation":[{"name":"Transplant Unit at Harefield and The Brompton Hospitals, Harefield,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Mumani","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Hillingdon Hospital, Uxbridge,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Lemon","sequence":"additional","affiliation":[{"name":"Radiotherapy Unit, Mount Vernon Hospital, Northwood,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RM","family":"Hillson","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Hillingdon Hospital, Uxbridge"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1988.tb02237.x"},{"key":"p_2","volume-title":"The effects of plasmapheresis on thyroid hormone and plasma drug concentrations in amiodarone induced thyrotoxicosis Br J Clin Pharm 31: 371-2","author":"Uzzan B","year":"1991"},{"key":"p_3","volume-title":"Oxford Textbook of Endocrinology and Diabetes","author":"Wartofsky L","year":"2002"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-46-1-61"},{"key":"p_9","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0889-8529(18)30165-8","volume":"2","author":"Burch HB","year":"1993","journal-title":"Endocrin Metab Clin NA"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.79.2.121"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2006.67.Sup9.22004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:20:24Z","timestamp":1770373224000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/67\/Sup9\/10.12968\/hmed.2006.67.Sup9.22004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9]]},"references-count":6,"journal-issue":{"issue":"Sup9","published-print":{"date-parts":[[2006,9]]}},"alternative-id":["10.12968\/hmed.2006.67.Sup9.22004"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2006.67.sup9.22004","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,9]]}}}