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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Wiley
2022-01-01
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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. |
format | Article |
id | doaj-art-3489936ae49843999bd6774bd40ff835 |
institution | Kabale University |
issn | 2090-651X |
language | English |
publishDate | 2022-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Endocrinology |
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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