Case Report

Fever of Unknown Origin as a Sole Presentation of Subacute Thyroiditis in an Elderly Patient: A Case Report with Literature Review

Table 1

Laboratory results.

Laboratory TestLevels(Reference Range)

Hemoglobin12.3g/dl (13-17.5g/dl)

White blood cells10.1k/cmm (4.5-11k/cmm)

Neutrophils78%(40-78%)

Lymphocytes12% (20-45%)

Monocytes9% (0-14%)

Eosinophils1% (0-8%)

AST44 U/L (8-48 U/L)

ALT38 U/L (7-55 U/L)

Alkaline Phosphatase99 U/L (45 to 115 U/L)

ESR 86 mm/hr (0-20 mm/hr)

CRP 192.0 mg/L (<7.0 mg/L)

HIVNegative

Monospot testNegative

IGRANegative

Hepatitis B surface antigenNegative

Anti-hepatitis B core antibodiesNegative

Anti-hepatitis B surface antibodiesNegative

Anti-hepatitis C antibodiesNegative

Anti-hepatitis A antibodies, TotalNegative

Anti-hepatitis A antibodies, IgMNegative

Total thyroxine levels (Total T4) 13.4 mcg/dL (5.0-11.0 mcg/dL)

Free thyroxine levels (Free T4) 2.55 ng/dL (0.70-1.60 ng/dL)

Total triiodothyronine levels (Total T3)170 ng/dl (72-176 ng/dl)

Free triiodothyronine levels (Free T3) 6 pg/ml (2.3-4.2pg/dl)

Thyroid stimulating hormone 0.01 mIU/mL (0.30-5.0 mIU/mL)

Thyroid stimulating immunoglobulins<89(<140)

Thyroglobulin (TG) antibodies<1 IU/mL

Thyroid peroxidase (TPO) antibody<1 IU/mL