Case Report

Povidone Iodine Disinfection Associated with Hypothyroidism and Potentially Contributing to Prolonged Kidney Failure

Table 1

Evolution from ICU day 0 until day 54 of serum levels of TSH, T3, T4, and TBG and of urinary iodine concentration. Wound care applied on these ICU days.

ICU dayTSH (mIU/L)T3 total (ng/dL)T4 total (mg/dL)TBG (mg/L)Urinary iodine (mg/L)Wound care fasciotomy wounds

Reference0.27-4.2080-2005.1-14.114.0-24.0≤100
0
1
2NaCl 0.9%+Iso-Betadine® gel
3NaCl 0.9%
4
5
6NaCl 0.9%+Iso-Betadine® tulle
7
8
9NaCl 0.9%+Dakin Cooper®+Iso-Betadine® tulle
10NaCl 0.9%+Dakin Cooper®
11NaCl 0.9%+Dakin Cooper®+Iso-Betadine® tulle
12NaCl 0.9%+Dakin Cooper®+Iso-Betadine® tulle
13
14NaCl 0.9%+Dakin Cooper®+Iso-Betadine® dressing
15NaCl 0.9%+Braunol® 7.5%
16NaCl 0.9%+Dakin Cooper®
17NaCl 0.9%
18NaCl 0.9%
19
20
21NaCl 0.9%+Braunol® 7.5%
22
2316.8644.022.1
24NaCl 0.9%
2513.3593.920.6
26
27
285.35446.423.8
29>10000NaCl 0.9%+chlorhexidine digluconate 0.5% in ethanol 70%+Flaminal Forte®
30
31>10000
32NaCl 0.9%+Flamigel®
33
34
355.03594.519.7
36NaCl 0.9%+Flaminal Forte®
37
38>10000NaCL 0.9%+Dakin Cooper®
39
40
41NaCl 0.9%
423.51827.819.0
43
443413NaCl 0.9%+Flaminal Forte®
45NaCl 0.9%+Flaminal Forte®
46NaCl 0.9%+Flaminal Forte®
47NaCl 0.9%
48NaCl 0.9%+Flaminal Forte®
494.28715.317.2NaCl 0.9%+Flaminal Forte®
50NaCl 0.9%+Flaminal Forte®
51NaCl 0.9%+chlorhexidine digluconate 0.5% in ethanol 70%+Flaminal Forte
52NaCl 0.9%+Flaminal Forte®
537.82
54

Abbreviations: T3: tri-iodothyronine; T4: thyroxine; TSH: thyroid stimulating hormone; TBG: thyroid binding globulin.