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Year : 2018  |  Volume : 4  |  Issue : 2  |  Page : 44-45

Subacute Thyroiditis Presenting as Puo - A Case Report

1 Associate Professor, Dept. of General Medicine, IGIMS, Patna, India
2 Assistant Professor, Dept. of Pathology, IGIMS, Patna, India
3 Assistant Professor, Dept. of General Medicine, IGIMS, Patna, India
4 Associate Professor, Dept. of Endocrinology, IGIMS, Patna, India
5 Additional Professor, Dept. of Pulmonology, IGIMS, Patna, India

Correspondence Address:
Praveen Kumar
Assosiate Professor, Dept. of General Medicine, IGIMS, Patna
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Source of Support: None, Conflict of Interest: None

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Pyrexia of unknown origin is one of the most difficult diagnostic problems in Internal Medicine and could be caused by infection, inflammation, neoplasm and other miscellaneous causes. Subacute thyroidtis is one of the rare causes of PUO. Case: 55 years old male who was a known diabetic on insulin was admitted with history of fever of one month duration. Clinical examination and investigation revealed tender thyromegaly, high ESR, high CRP, low TSH, high T4 and T3. Based on the above clinical and laboratory findings the diagnosis of subacute thyroiditis with diabetes mellitus was made. Patient was treated with beta-blocker, steroid, insulin and paracetamol. Patient responded with treatment. Conclusion: Subacute thyroidits is one of the rare causes of PUO and should be considered as a differential diagnosis even if clinical symptoms of thyrotoxicosis are not present.

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