Coronavirus Disease 2019 Induced Thyroiditis

2021 
Abstract Background Coronavirus Disease 2019 (COVID-19) is a disease that presents with acute respiratory symptoms that are well documented and sequelae that are yet to be fully understood. Case Report We present the case of a 51-year old female, recently diagnosed with COVID-19, who presented with symptoms including chest pain, palpitations, difficulty swallowing, and anterior neck discomfort. We ultimately diagnosed her with COVID-19 induced thyroiditis and discharged her on propranolol and non-steroidal anti-inflammatory medication. Why should an emergency physician be aware of this? Thyroiditis can present with similar symptoms to other etiologies like pulmonary embolism. We discuss the process of evaluating and treating thyroiditis. We further discuss the risk of administering iodinated contrast media which could further exacerbate thyroid dysfunction.
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