Serotonin syndrome unmasking thyrotoxicosis.
BMJ case reports March 7, 2019 Geoffrey Peter Ronan, Nicola Ronan, Siobhan Mcgettigan et al. 4 citations
A 26-year-old cachectic man with chronic drug abuse presented with altered mental status, agitation, tremors, hyperthermia, diaphoresis, and dilated pupils after acute ingestion of MDMA. His condition deteriorated, requiring sedation and intensive care. Serotonin syndrome was diagnosed using Hunter criteria, and supportive care managed a brief delirium. After recovery, blood work revealed concurrent thyrotoxicosis, which may have contributed. He was treated for thyroid disease and referred for specialist follow-up.