Subacute thyroiditis associated with COVID-19 affecting health professionals, a case series in high-risk population

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Bali Medical Journal Pub Date : 2022-12-14 DOI:10.15562/bmj.v12i1.3936
Hendra Zufry, Sarah Firdausa, A. S. Ekadamayanti, K. W. Sucipto
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Abstract

Background: Healthcare professionals are more vulnerable to infectious infections, especially ones that are easily transferred, such as COVID-19. Subacute thyroiditis is a self-limiting thyroid gland infection caused by a virus. SARS-CoV-2 infection increases the prevalence of subacute thyroiditis. Objective: This case series addresses the emergence of subacute thyroiditis cases linked to SARS-CoV-2 infection, which is more common in healthcare personnel. Methods: This study analyzed nine COVID-19 cases with neck pain symptoms. The clinical presentation, thyroid markers, ultrasound features of the thyroid gland, and its management were described in this study. Result: There were nine cases included, and seven out of nine were experienced by healthcare professional workers. All of them were patients in the Clinic of Endocrinology Metabolism and Diabetes - Thyroid Center, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, from January to June 2021. Most of them presented with mild to moderate neck pain. All patients had clinical improvement within two weeks to two months after receiving treatments. Conclusion: Subacute thyroiditis is a painful thyroid gland disease characterized by acute inflammation of the thyroid gland, which can arise during or after a viral infection such as COVID-19. This case series emphasizes the importance of physicians awareness that subacute thyroiditis could be one of many clinical spectra of SARS-CoV-2 infection that should not be missed.
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影响卫生专业人员的与COVID-19相关的亚急性甲状腺炎:高危人群的病例系列
背景:卫生保健专业人员更容易受到传染性感染,特别是容易转移的感染,如COVID-19。亚急性甲状腺炎是一种由病毒引起的自限性甲状腺感染。SARS-CoV-2感染会增加亚急性甲状腺炎的患病率。目的:本病例系列探讨了与SARS-CoV-2感染相关的亚急性甲状腺炎病例的出现,这在卫生保健人员中更为常见。方法:对9例有颈部疼痛症状的新冠肺炎患者进行分析。本文描述了甲状腺的临床表现、甲状腺标志物、超声特征及其处理方法。结果:共纳入9例,其中7例为卫生专业人员。所有患者均为2021年1月至6月在印度尼西亚班达亚齐Zainoel Abidin医生医院内分泌代谢和糖尿病-甲状腺中心门诊就诊的患者。大多数患者表现为轻度至中度颈部疼痛。所有患者在治疗后2周至2个月内均有临床改善。结论:亚急性甲状腺炎是一种以甲状腺急性炎症为特征的疼痛性甲状腺疾病,可在COVID-19等病毒感染期间或之后发生。本病例系列强调了医生认识到亚急性甲状腺炎可能是不应错过的SARS-CoV-2感染的许多临床谱之一的重要性。
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来源期刊
Bali Medical Journal
Bali Medical Journal MEDICINE, GENERAL & INTERNAL-
自引率
50.00%
发文量
8
审稿时长
3 weeks
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