SARS-CoV-2 and Subacute Thyroiditis: A Case Report and Literature Review
Table 3
Comparison the mentioned criteria with the clinical findings of our patient.
COVID-19-related SAT criteria
Present in our patient
Main criteria (all should be met)
Laboratory: elevation of ESR or at least CRP
+
Ultrasound: hypoechoic area/areas with blurred margin and decreased vascularization in US
+
Remarks related to COVID-19 pandemic (should be taken into account during pandemic)
SAT diagnosis should be considered in patients with/after SARS-CoV-2 infections with
Unexpected
De novo presence of tachycardia or arrhythmias
−
Deterioration of previously present tachycardia or arrhythmias
+
Deterioration of fatigue/malaise
−
Laboratory markers of thyrotoxicosis including decreased TSH and increased FT4-thyroid tests should be considered in all patients hospitalized due to COVID-19, especially in ICU patients
+
SAT is more frequently painless in COVID-19 patients and the presence of pain should not be treated as SAT criterion in this group, especially in hospitalized patients
−
As SAT may be the only manifestation of COVID-19, testing for SARS-CoV-2 infection should be considered in all patients with SAT diagnosed during the pandemic
