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Painless Subacute Thyroiditis in a Patient With Acute COVID-19 Infection: A Transient Event
Tsering Dolkar1, Fnu Jitidhar1, Meet J Patel1
1Internal Medicine, One Brooklyn Health (OBH) Interfaith Medical Center, Brooklyn, USA.
Cureus
|August 19, 2022
Summary
This case study highlights a rare instance of thyroiditis occurring alongside COVID-19 and pulmonary embolism. The thyroid dysfunction resolved quickly with conservative treatment, offering insights into COVID-19
Area of Science:
- Endocrinology
- Infectious Diseases
- Cardiology
Background:
- Coronavirus 2019 disease (COVID-19), caused by SARS-CoV-2, is primarily known for respiratory effects.
- Non-respiratory manifestations of COVID-19 are increasingly reported.
- Thyroiditis as a complication of COVID-19 is infrequently documented.
Observation:
- A middle-aged female patient presented with confirmed COVID-19 and acute pulmonary embolism.
- The patient had a normal thyroid profile three months prior to presentation.
- Thyroiditis was diagnosed in conjunction with COVID-19 infection.
Findings:
- COVID-19 associated thyroiditis presented with elevated free thyroxine (FT4) and suppressed thyroid-stimulating hormone (TSH).
- The thyroid profile abnormalities resolved within six days.
- Conservative management was effective in resolving the thyroiditis.
Implications:
- This case expands the spectrum of non-respiratory complications associated with SARS-CoV-2 infection.
- It underscores the importance of monitoring thyroid function in COVID-19 patients.
- Early recognition and conservative management may be sufficient for COVID-19 induced thyroiditis.
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