{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T19:44:37Z","timestamp":1776282277787,"version":"3.50.1"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"1","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: Thyroid storm is a rare but potentially life-threatening metabolic disorder that presents unique management challenges in the emergency department. Thionamides are commonly used as monotherapy for \ufb01rst-line treatment of hyperthyroidism.Case Report: In this case, a 26-year-old male presented to the emergency department with sore throat, fever, and diarrhea. He was found to have thyrotoxicosis as well as methimazole-induced bone marrow suppression resulting in agranulocytosis.Conclusion: Thyroid storm is a rare condition that carries a high risk of mortality and can further compromise a patient\u2019s immune system due to complications of common treatment modalities. It can potentially be misdiagnosed as sepsis due to tachycardia, febrile state, and tachypnea. This case report includes a discussion of diagnostic studies, as well as medical and surgical treatment modalities that led to the patient\u2019s recovery.<\/p>","DOI":"10.5811\/cpcem.6609","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T15:56:19Z","timestamp":1701878179000},"source":"Crossref","is-referenced-by-count":1,"title":["The Rare Sore Throat: A Case of Thyroid Storm and Agranulocytosis"],"prefix":"10.5811","volume":"8","author":[{"given":"Matthew J.","family":"Kunz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne A.","family":"Martini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Levi","family":"Filler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2023,12,6]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt1251v3fc\/qt1251v3fc.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:49:38Z","timestamp":1776278978000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/1251v3fc"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,6]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,2,12]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.6609","relation":{},"ISSN":["2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,6]]}}}