A Case of Subacute Thyroiditis following COVID-19 Infection

Background/Objective. Since the start of the pandemic, COVID-19 has been associated with several postinfection complications. Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid that has been reported in the literature following COVID-19 infection. We report a case of SAT following...

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Main Authors: Sameh Samir Elawady, Diwakar Phuyal, Rakesh Kumar Shah, Lubna Mirza
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2022/2211061
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author Sameh Samir Elawady
Diwakar Phuyal
Rakesh Kumar Shah
Lubna Mirza
author_facet Sameh Samir Elawady
Diwakar Phuyal
Rakesh Kumar Shah
Lubna Mirza
author_sort Sameh Samir Elawady
collection DOAJ
description Background/Objective. Since the start of the pandemic, COVID-19 has been associated with several postinfection complications. Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid that has been reported in the literature following COVID-19 infection. We report a case of SAT following COVID-19 infection. Case Report. A 33-year-old female presented with neck pain two weeks after resolution of COVID-19 infection. Her thyroid function tests together with ultrasonographic pictures were consistent with SAT. She was treated with three rounds of medrol dose pack without relief. She then required oral prednisone 40 mg per day and ibuprofen 800 mg once daily for another several weeks that eventually resulted in improvement of her symptoms. Discussion. SAT most commonly occurs in females during or after viral infection. The usual course of the disease is hyperthyroidism then hypothyroidism followed by resolution. SAT is clinically diagnosed by lab findings of decreased TSH in the setting of negative thyroid-stimulating and thyroid peroxidase antibodies. All these data are consistent with our case. Conclusion. SAT following COVID-19 infection presents with a similar clinical presentation and course as the classic form of SAT, but we should consider the fact that a high-dose corticosteroid treatment might be necessary for such patients.
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spelling doaj-art-3489936ae49843999bd6774bd40ff8352025-02-03T05:53:28ZengWileyCase Reports in Endocrinology2090-651X2022-01-01202210.1155/2022/2211061A Case of Subacute Thyroiditis following COVID-19 InfectionSameh Samir Elawady0Diwakar Phuyal1Rakesh Kumar Shah2Lubna Mirza3Faculty of MedicineKirtipur HospitalKathmandu Medical CollegeNorman Endocrinology AssociatesBackground/Objective. Since the start of the pandemic, COVID-19 has been associated with several postinfection complications. Subacute thyroiditis (SAT) is an inflammatory disorder of the thyroid that has been reported in the literature following COVID-19 infection. We report a case of SAT following COVID-19 infection. Case Report. A 33-year-old female presented with neck pain two weeks after resolution of COVID-19 infection. Her thyroid function tests together with ultrasonographic pictures were consistent with SAT. She was treated with three rounds of medrol dose pack without relief. She then required oral prednisone 40 mg per day and ibuprofen 800 mg once daily for another several weeks that eventually resulted in improvement of her symptoms. Discussion. SAT most commonly occurs in females during or after viral infection. The usual course of the disease is hyperthyroidism then hypothyroidism followed by resolution. SAT is clinically diagnosed by lab findings of decreased TSH in the setting of negative thyroid-stimulating and thyroid peroxidase antibodies. All these data are consistent with our case. Conclusion. SAT following COVID-19 infection presents with a similar clinical presentation and course as the classic form of SAT, but we should consider the fact that a high-dose corticosteroid treatment might be necessary for such patients.http://dx.doi.org/10.1155/2022/2211061
spellingShingle Sameh Samir Elawady
Diwakar Phuyal
Rakesh Kumar Shah
Lubna Mirza
A Case of Subacute Thyroiditis following COVID-19 Infection
Case Reports in Endocrinology
title A Case of Subacute Thyroiditis following COVID-19 Infection
title_full A Case of Subacute Thyroiditis following COVID-19 Infection
title_fullStr A Case of Subacute Thyroiditis following COVID-19 Infection
title_full_unstemmed A Case of Subacute Thyroiditis following COVID-19 Infection
title_short A Case of Subacute Thyroiditis following COVID-19 Infection
title_sort case of subacute thyroiditis following covid 19 infection
url http://dx.doi.org/10.1155/2022/2211061
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