**5. Conclusion**

Thyroid storm is an endocrine medical emergency, requiring early diagnosis and earlier management. Frequent precipitated by stress or acute illness or improper treatment of hyperthyroidism.

Thyroid storm or increased level of thyroxine or thyroid hormones causes multiple organ dysfunction or failure. Commonly manifested as fever, GI, central nervousness and cardiac dysfunctions, and arrhythmias. Thyroid storm diagnosed by clinical presentation, high index of suspicious, and use of scoring system. These patients can present in shock. Management should be supportive care, use of antithyroid medications, management of shock, antiarrhythmic therapy, and temperature management. Advanced age, neurological dysfunction at presentations, requirement of dialysis, invasive ventilation, and delay in antithyroid therapy will indicate a poor prognosis in thyroid storm.
