Professional paper
https://doi.org/10.37797/ig.41.1.4
Subacute Thyroiditis – a Neglected Complication of SARS-CoV-2 Infection
Thomas Ferenc
orcid.org/0000-0002-4917-9270
; Clinical Department of Diagnostic and Interventional Radiology, Merkur University Hospital, Zagreb, Croatia
Anna Mrzljak
orcid.org/0000-0001-6270-2305
; School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Internal Medicine, Merkur University Hospital, Zagreb, Croatia
Irena Tabain
; Department of Virology, Croatian Institute of Public Health, Zagreb, Croatia
Tatjana Vilibić-Čavlek
orcid.org/0000-0002-1877-5547
; School of Medicine, University of Zagreb, Zagreb, Croatia; Department of Virology, Croatian Institute of Public Health, Zagreb, Croatia
Abstract
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It usually presents with mild common cold-like symptoms. However, it can lead to series of complications with some of them being fatal. One of the rare and potentially neglected manifestations of COVID-19 is subacute thyroiditis (SAT). Viral causes of SAT documented so far include several viruses, but according to the newest reports, SARS-CoV-2 should also be added to the list. The median time between COVID-19 diagnosis and the onset of SAT symptoms is reported to be 29 days. Patients mostly present with triphasic course of symptoms - thyrotoxicosis, followed by hypothyroidism and euthyroidism. Although limited number of SAT cases after SARS-CoV-2 infection are reported, physicians should consider SAT as a differential diagnosis in COVID-19 patients. The routine assessment of thyroid function in patients with clinical suspicion of SAT or with the suspicion of any other thyroid dysfunction is advised.
Keywords
subacute thyroiditis; COVID-19; SARS-CoV-2
Hrčak ID:
259120
URI
Publication date:
18.6.2021.
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