Mattar Shaikh Abdul Matin, Koh Samuel Ji Quan, Rama Chandran Suresh, Cherng Benjamin Pei Zhi
Department of Internal Medicine, Singapore General Hospital, Singapore
Department of Internal Medicine, Singapore General Hospital, Singapore.
BMJ Case Rep. 2020 Aug 25;13(8):e237336. doi: 10.1136/bcr-2020-237336.
We report a case of a hospitalised patient with COVID-19 who developed subacute thyroiditis in association with SARS-COV-2 infection. The patient presented with tachycardia, anterior neck pain and thyroid function tests revealing hyperthyroidism together with consistent ultrasonographic evidence suggesting subacute thyroiditis. Treatment with corticosteroids resulted in rapid clinical resolution. This case illustrates that subacute thyroiditis associated with viruses such as SARS-CoV-2 should be recognised as a complication of COVID-19 and considered as a differential diagnosis when infected patients present with tachycardia without evidence of progression of COVID-19 illness.
我们报告了一例新冠肺炎住院患者，该患者在感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的同时并发了亚急性甲状腺炎。患者表现为心动过速、颈前部疼痛，甲状腺功能检查显示甲状腺功能亢进，同时超声检查结果一致提示亚急性甲状腺炎。使用皮质类固醇治疗后临床症状迅速缓解。该病例表明，与SARS-CoV-2等病毒相关的亚急性甲状腺炎应被视为新冠肺炎的一种并发症，当感染患者出现心动过速且无新冠肺炎病情进展证据时，应将其作为鉴别诊断考虑。
