Thyroid storm in a polytrauma patient.

We report the case of a 38 year-old woman who presented initially as the driver in a road traffic accident with a Glasgow Coma Score of 14, agitated, tachycardic, tachypnoeic and hypertensive. The combination of an abdominal CT scan and clinical findings led to the decision to perform an emergency laparotomy. Her persisting symptoms and laboratory results revealed her to be manifesting acute thyroid storm; TSH of < 0.10 IU.l(-1), free T4 of 59.8 pmol.l(-1) and free T3 of 20.20 pmol.l(-1).