Alexander Varkey, Kurien Thomas T, Chattopadhyay Arijit
Department of Medicine, Al-Sabah Hospital, Ministry of Health, Kuwait.
J Assoc Physicians India. 2009 Jul;57:527-8.
We report a previously healthy 43 yr old male who presented with prolonged fever, weight loss and neck pain for 3 weeks. Even after extensive work up for the possible causes of pyrexia, the cause remained elusive. In view of persistent tachycardia and neck pain, possibility of subacute thyroiditis was suspected. Thyroid function test (TFT) revealed thyrotoxicosis, which on further evaluation was found to be secondary to DeQuervains thyroiditis. He was treated with NSAIDs, beta-blockers and steroids. He improved rapidly but went on to develop hypothyroidism on follow-up and required levothyroxine replacement.
我们报告了一名此前健康的43岁男性，他出现持续发热、体重减轻和颈部疼痛3周。即便对发热的可能病因进行了全面检查，病因仍不明确。鉴于持续心动过速和颈部疼痛，怀疑有亚急性甲状腺炎的可能。甲状腺功能检查（TFT）显示甲状腺毒症，进一步评估发现是继发于亚急性甲状腺炎。他接受了非甾体抗炎药、β受体阻滞剂和类固醇治疗。他恢复迅速，但随访时出现了甲状腺功能减退，需要左甲状腺素替代治疗。
