Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
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Year : 2010  |  Volume : 5  |  Issue : 4  |  Page : 249
Author's reply

Intensive Care Departments, King Saud Bin Abdulaziz, University for Health Sciences, Saudi Arabia

Date of Web Publication7-Sep-2010

Correspondence Address:
Salim Baharoon
Intensive Care Departments, King Saud Bin Abdulaziz, University for Health Sciences
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

PMID: 20981188

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How to cite this article:
Baharoon S. Author's reply. Ann Thorac Med 2010;5:249

How to cite this URL:
Baharoon S. Author's reply. Ann Thorac Med [serial online] 2010 [cited 2023 Mar 29];5:249. Available from:

"Wiwanitkit highlighted few notes on the publication" H1N1 infection induced thyroid storm including weather this is the first reported case in litraure and the association between H1N1 infection and the thyroid storm. [1] Infection is frequently quoted as a possible precipitator to thyroid storm. This was highlighted both in the introduction and the discussion of our article. The mechanism by which systemic infections precipitate a storm is not well described in the literature. [2],[3],[4],[5],[6],[7],[8] We are not suggesting that the activation (induction of the storm) occurs because of direct invasion of the virus into the thyroid gland. The word induction surely is not meant to establish that case of correlation.

This case was published in the indexed Annals of Thoracic Medicine on April 14, 2010. Therefore, to our knowledge, we still believe that it is the first case to appear in the English literature that correlates H1N1 with thyroid storm. The case presented by Oguz et al. is quite interesting, however, it was presented in the abstract book of the "European Congress of Endocrinology" that was held between April 24 and 28, 2010, in Czech Republic, that is, after our publication date.

   References Top

1.Bahroon SA. H1N1 infection and thyroid storm. Ann Thorac Med 2010;5:249.  Back to cited text no. 1      
2.Jampen C, Mόller B, Weiss M. 49-year-old patient with staphylococcal endocarditis and thyrotoxic crisis. Praxis (Bern1994) 2003;92:1261-4.  Back to cited text no. 2      
3.Balkhy HH. The inevitable! An emergence of a new influenza virus. Ann Thorac Med 2009;4:109-10.  Back to cited text no. 3  [PUBMED]  Medknow Journal  
4.Yoshie T, Masao Y, Masaya I, Ken S, Hideyuki K. Thyroid crisis caused by respiratory infection, twenty-six years after the onset of Graves' disease-a case report. J Okayama Saiseikai Gen Hospital 2004;36:34-8.  Back to cited text no. 4      
5.Petrosillo N, Di Bella S, Drapeau CM, Grilli E. The novel influenza A (H1N1) virus pandemic: An update. Ann Thorac Med 2009;4:163-72.  Back to cited text no. 5  [PUBMED]  Medknow Journal  
6.Beθejac B, Vrkljan M, Solter M, Sikirica N. Thyrotoxic Crisis in a 75 years old woman. Acta Clin Croat 2003;42:229-31.  Back to cited text no. 6      
7.Rufener S, Arunachalam V, Ajluni R, Sil A. Thyroid storm precipitated by infection: An atypical case involving multisystem organ dysfunction. Endocrinologist 2005;15:111-4.  Back to cited text no. 7      
8.Desai B, Shukla A. Thyroid Storm: An Atypical Presentation legionella and parainfluenza Abstracts of Papers Presented At The 154 th Research Meeting of The Medical Research Centre of Bombay Hospital Trust on Monday 8 th Oct 2007.  Back to cited text no. 8      

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