Health
Coronavirus can infect the thyroid gland and cause inflammation
According to doctors, Friday May 22, 2020 (HealthDay News) -A new teenager could be the first known case of a painful thyroid infection caused by the new coronavirus.
A research team from Pisa, northern Italy, said the 18-year-old woman had increased pain and spread a few weeks after she was diagnosed with SARS-CoV-2 virus positive in late February. This condition, called thyroiditis, fully recovered within a week of treatment with the steroid prednisone.
Nonetheless, doctors believe that “it is necessary to alert them about the potential for this additional clinical manifestation” related to the new coronavirus, Francesco, an endocrinologist at the University of Pisa University Hospital, a research leader. Latrofa said in a news release from Endocrine Society. He and his colleagues published their findings on May 21 Journal of Clinical Endocrinology & Metabolism..
“COVID-19 continues to show a lot of surprises,” said Dr. David Hiltzik, a thyroid specialist who is head of head and neck surgery at Staten Island University Hospital in New York City. “It’s not surprising that the thyroid gland joins many other areas affected by the disease, as it has been shown to appear in so many different organ systems throughout the body.
“Thankfully, thyroiditis is easy to treat and you don’t have to worry too much,” added Hirzik, who was not involved in the new study. “That said, if a patient is infected with the virus and has a new neck pain, it should be evaluated.”
For an Italian woman, she first had a new coronavirus nasal swab test on February 28 because her father was previously hospitalized at COVID-19. The test turned positive, but she initially experienced only mild, transient respiratory symptoms.
But by March 17, she revisited Pisa Clinic with fever, palpitation, and neck pain. Doctors said her neck was getting worse and her thyroid gland was painfully enlarged.
The test confirmed thyroiditis. The patient was given prednisone and within 2 days alleviated neck pain and fever. The rest of the symptoms subsided within a week.
Latrofa and his group found that their appearance on SARS-CoV-2 was not completely surprising, as thyroiditis was seen with a myriad of infections including Mumps, Epstein Barr, Hepatitis E, and HIV. I pointed out. But to their knowledge, this is the first such case associated with the new coronavirus.
Dr. Minichasud is an endocrinologist at Lennox Hill Hospital in New York City. Reading the findings from Italy, she said it was “a classic presentation of postviral thyroiditis characterized by neck pain, fever and the development of high thyroid hormone levels.”
Sood said her doctor had prescribed prednisone because of the severity of the neck pain she experienced. However, in the lighter cases, non-steroidal anti-inflammatory analgesics are often prescribed first, with steroids later if needed.
In any case, “Because the increased post-viral symptoms are due to COVID-19 or COVID-19 complications such as thrombosis. [clotting] The event, the possibility of subacute thyroiditis, must not be overlooked, “said Sud.
For more information
There are more details about thyroiditis American Family Medicine Association..
Source: Minisha Sood, M.D. , Endocrinologist, Lenox Hill Hospital, New York City; Doctor of Medicine David Hiltzik, Head and Neck Surgery, New York City Staten Island University Hospital; May 21, 2020. Journal of Clinical Endocrinology & Metabolism
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