Case Report

A case report of simultaneous Subacute thyroiditis and COVID-19 infection. A rare presentation or mere coincidence?

Abstract

Subacute thyroiditis is an uncommon thyroid disease which usually occurs after a viral infection. During COVID-19 pandemics, several subacute thyroiditis cases were identified during or after COVID-19. Due to their similar manifestations and high prevalence of COVID-19, subacute thyroiditis might be neglected if the clinicians do not keep it in mind. In this care report, we present a missing patient with SARS-COV-2 infection and subacute thyroiditis which was not suspected until the latent phase of the disease.The patient report can be a re-emphasis on the importance of clinical examination and especially paying attention to palpation of the thyroid gland.

1. JH L. Braverman LE, Utiger RD, editors. The thyroid: a fundamental and clinical text. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 1996.
2. Desailloud R, Hober D. Viruses and thyroiditis: an update. Virol J. 2009;6:5. https://doi.org/10.1186/1743-422X-6-5
3. Shrestha RT, Hennessey J. Acute and Subacute, and Riedel’s Thyroiditis. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, et al., editors. Endotext. South Dartmouth (MA): MDText.com, Inc. Copyright © 2000-2022, MDText.com, Inc.; 2000.
4. Popescu M, Ghemigian A, Vasile CM, Costache A, Carsote M, Ghenea AE. The New Entity of Subacute Thyroiditis amid the COVID-19 Pandemic: From Infection to Vaccine. Diagnostics (Basel). 2022;12(4). https://doi.org/10.3390/ diagnostics12040960
5. Alfadda AA, Sallam RM, Elawad GE, Aldhukair H, Alyahya MM. Subacute thyroiditis: clinical presentation and long term outcome. Int J Endocrinol. 2014;2014:794943. https://doi. org/10.1155/2014/794943
6. Cunha BA, Chak A, Strollo S. Fever of unknown origin (FUO): de Quervain’s subacute thyroiditis with highly elevated ferritin levels mimicking temporal arteritis (TA). Heart Lung. 2010;39(1):73-7. https://doi.org/10.1016/j.hrtlng.2009.06.006
7. Abdulkadir J, Besrat A, Abraham G, Gebre P. Thyrotoxicosis in Ethiopian patients-a prospective study. Transactions of the Royal society of Tropical Medicine and Hygiene. 1982 Jan 1;76(4):500-2. https://doi.org/10.1016/0035-9203(82)90149-3
8. Datta K, Tripathi M. Sleep and Covid-19. Neurology India. 2021 Jan 1;69(1):26. https://doi.org/10.4103/0028-3886.310073
9. Rotondi M, Coperchini F, Ricci G, Denegri M, Croce L, Ngnitejeu ST, et al. Detection of SARS-COV-2 receptor ACE-2 mRNA in thyroid cells: a clue for COVID-19-related subacute thyroiditis. J Endocrinol Invest. 2021;44(5):1085-90. https:// doi.org/10.1007/s40618-020-01436-w
10. Brancatella A, Ricci D, Viola N, Sgrò D, Santini F, Latrofa F. Subacute Thyroiditis After Sars-COV-2 Infection. J Clin Endocrinol Metab. 2020;105(7). https://doi.org/10.1210/ clinem/dgaa276
11. Asfuroglu Kalkan E, Ates I. A case of subacute thyroiditis associated with Covid-19 infection. J Endocrinol Invest. 2020;43(8):1173- 4. https://doi.org/10.1007/s40618-020-01316-3
12. Chakraborty U, Ghosh S, Chandra A, Ray AK. Subacute thyroiditis as a presenting manifestation of COVID-19: a report of an exceedingly rare clinical entity. BMJ Case Rep. 2020;13(12). https://doi.org/10.1136/bcr-2020-239953
13. Mattar SAM, Koh SJQ, Rama Chandran S, Cherng BPZ. Subacute thyroiditis associated with COVID-19. BMJ Case Rep. 2020;13(8). https://doi.org/10.1136/bcr-2020-237336
Files
IssueVol 7 No 5 (2022): September-October QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v7i5.11873
Keywords
SARS-COV-2 Thyroid COVID-19 subacute thyroiditis Neck pain Insomnia

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Samadi S, Salehi M, Emadi H, Saffarian Z, eslami mohammad. A case report of simultaneous Subacute thyroiditis and COVID-19 infection. A rare presentation or mere coincidence?. CRCP. 2023;7(5):261-263.