Mathew Jacob
Department of Aviation Medicine, Evans US Army Hospital, Fort Carson, Colorado, USA.
BMJ Case Rep. 2018 Dec 18;11(1):e226711. doi: 10.1136/bcr-2018-226711.
Subacutethyroiditis is a self-limited inflammatory condition commonly of viral aetiology, that manifests through phases of thyroid hormone changes over a 6-8 month period. A 24-year-old active duty military man, undergoing treatment for recurrent infection, presented for clinical evaluation and was found to have a thyroid stimulating hormone level of 0.003 mg/dL. Further labs revealed a normal T4, elevated T3 at 5.0 pg/mL and elevated C reactive protein at 3.69 mg/L. The patient was followed with monthly labs and the abnormal thyroid stimulating hormone and triiodothyronine levels resolved after the completion of his treatment. While subacute thyroiditis has historically been due to viral causes, rarely do we see this condition associated with an intestinal bacterial source.
亚急性甲状腺炎是一种通常由病毒病因引起的自限性炎症性疾病，在6至8个月的时间内通过甲状腺激素变化阶段表现出来。一名24岁的现役军人正在接受反复感染的治疗，前来进行临床评估，发现其促甲状腺激素水平为0.003mg/dL。进一步的实验室检查显示T4正常，T3升高至5.0pg/mL，C反应蛋白升高至3.69mg/L。该患者每月进行实验室检查，在完成治疗后，异常的促甲状腺激素和三碘甲状腺原氨酸水平恢复正常。虽然亚急性甲状腺炎历来是由病毒引起的，但我们很少看到这种疾病与肠道细菌来源有关。
