Clinical observation of a young male outpatient with an atypical course of subacute thyroiditis

Abstract

The article presents a clinical case of detection of subacute thyroiditis (PT) during an outpatient examination of a 34-year-old male patient with suspected acute respiratory viral infection. The patient went to the doctor complaining of a respiratory infection: fever, weakness, decreased appetite, sweating. During a physical examination, the doctor revealed pain on palpation in the area of the thyroid cartilage, which led to an additional examination of the patient for thyroid disease. According to the results of laboratory data, the level of free hormone T4 was 52 pmol/l, C-reactive protein was 71.53 mg/l. According to ultrasound examination of the thyroid gland, signs of diffuse thyroid changes by type of thyroiditis were revealed. The node of the left lobe (Tirads-3). Upon further examination, an endocrinologist diagnosed subacute thyroiditis. This observation illustrates the importance of a detailed medical history collection by a primary care physician in patients with subfebrility, who tend to selectively express complaints as part of their vision of the disease, interpreting fever as a sign of an infectious disease, and also emphasizes the importance of objective physical examination of all organs and systems, including thyroid palpation, and the appointment of additional research methods (assessment markers of inflammation), taking into account possible non-infectious causes of these symptoms.