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Post COVID-19 Vertigo in a Patient with Hypothyroidism: A Case Report
David Calderon Guzman1, Norma Osnaya Brizuela1, Armando Valenzuela Peraza1
1Laboratory of Neurosciences. Instituto Nacional de Pediatria (INP), Mexico City, Mexico.
Summary
This case study highlights how COVID-19 infection can trigger vertigo and anxiety in patients with hypothyroidism. Prompt medical intervention led to a good recovery, emphasizing the link between these conditions.
Area of Science:
- Neurology
- Endocrinology
- Infectious Diseases
Background:
- Hypothyroidism is a common endocrine disorder.
- Vertigo and anxiety are common symptoms that can be debilitating.
- COVID-19 has been associated with a wide range of neurological and psychological symptoms.
Observation:
- A 44-year-old female nurse with hypothyroidism presented with acute vertigo, nausea, and anxiety post-COVID-19 infection.
- Symptoms included severe, short-lived attacks of objective-circular vertigo, triggered by positional changes.
- The patient experienced nausea and vomiting during vertigo episodes.
Findings:
- The patient received treatment for hypothyroidism, vertigo, and anxiety.
- Levothyroxine and losartan were prescribed, and oral feeding was initiated.
- The patient showed significant improvement and was discharged home without complications.
Implications:
- COVID-19 infection may act as a trigger or exacerbating factor for vertigo and anxiety in individuals with pre-existing hypothyroidism.
- This case underscores the importance of considering COVID-19 as a potential trigger for neurological and psychological symptoms in hypothyroid patients.
- Further research is warranted to understand the mechanisms underlying this association and to develop targeted management strategies.
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