Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid
A previously well 32-year-old Chinese male presented with acute bilateral upper and lower limb paralysis upon waking, ten days after the onset of COVID-19 infection. Examination revealed areflexia over all four limbs, associated with reduced muscle strength, but no sensory or cranial nerve deficit....
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/5827664 |
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| _version_ | 1832545610449813504 |
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| author | Sarah Ying Tse Tan Jiaqing Xiong Troy H Puar Joan Khoo Andy Jun-wei Wong Shui Boon Soh |
| author_facet | Sarah Ying Tse Tan Jiaqing Xiong Troy H Puar Joan Khoo Andy Jun-wei Wong Shui Boon Soh |
| author_sort | Sarah Ying Tse Tan |
| collection | DOAJ |
| description | A previously well 32-year-old Chinese male presented with acute bilateral upper and lower limb paralysis upon waking, ten days after the onset of COVID-19 infection. Examination revealed areflexia over all four limbs, associated with reduced muscle strength, but no sensory or cranial nerve deficit. Initial concern was Guillain-Barre syndrome given the acute flaccid paralysis following COVID-19 infection. However, investigations revealed severe hypokalaemia (1.7 mmol/L) and primary hyperthyroidism. He was treated for thyrotoxic periodic paralysis (TPP) with β-blockers, antithyroid medications, and intravenous potassium chloride (KCl). Despite frequent monitoring of potassium, rebound hyperkalaemia occurred with prompt resolution of paralysis. |
| format | Article |
| id | doaj-art-e714b1d439684167b89ce8228c1618ad |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e714b1d439684167b89ce8228c1618ad2025-02-03T07:25:26ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/5827664Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the ThyroidSarah Ying Tse Tan0Jiaqing Xiong1Troy H Puar2Joan Khoo3Andy Jun-wei Wong4Shui Boon Soh5Department of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyA previously well 32-year-old Chinese male presented with acute bilateral upper and lower limb paralysis upon waking, ten days after the onset of COVID-19 infection. Examination revealed areflexia over all four limbs, associated with reduced muscle strength, but no sensory or cranial nerve deficit. Initial concern was Guillain-Barre syndrome given the acute flaccid paralysis following COVID-19 infection. However, investigations revealed severe hypokalaemia (1.7 mmol/L) and primary hyperthyroidism. He was treated for thyrotoxic periodic paralysis (TPP) with β-blockers, antithyroid medications, and intravenous potassium chloride (KCl). Despite frequent monitoring of potassium, rebound hyperkalaemia occurred with prompt resolution of paralysis.http://dx.doi.org/10.1155/2022/5827664 |
| spellingShingle | Sarah Ying Tse Tan Jiaqing Xiong Troy H Puar Joan Khoo Andy Jun-wei Wong Shui Boon Soh Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid Case Reports in Medicine |
| title | Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid |
| title_full | Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid |
| title_fullStr | Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid |
| title_full_unstemmed | Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid |
| title_short | Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid |
| title_sort | acute flaccid tetraparesis after covid 19 infection think of the thyroid |
| url | http://dx.doi.org/10.1155/2022/5827664 |
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