Tiroiditis subaguda post dengue en una mujer peruana: reporte de caso y revisión de la literatura

María de Lourdes Trujillo-Aguirre; Rosa Laurie Marcilla-Truyenque; Juan Eduardo  Quiroz-Aldave; Adriana Morales-Moreno; María del Carmen Durand-Vásquez; Marcio José Concepción-Zavaleta; José Paz-Ibarra

doi:10.17843/rpmesp.2024.414.14228

Authors

María de Lourdes Trujillo-Aguirre División de Endocrinología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú https://orcid.org/0000-0001-8498-5051
Rosa Laurie Marcilla-Truyenque División de Endocrinología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. https://orcid.org/0000-0003-1250-6407
Juan Eduardo Quiroz-Aldave Servicio de Medicina, Hospital de Apoyo Chepén. Chepén, Perú https://orcid.org/0000-0001-8286-095X
Adriana Morales-Moreno Servicio de Infectología, SANNA, Clínica El Golf. Lima, Perú. https://orcid.org/0000-0002-5353-5266
María del Carmen Durand-Vásquez Servicio de Medicina, Hospital de Apoyo Chepén. Chepén, Perú. https://orcid.org/0000-0001-7862-9333
Marcio José Concepción-Zavaleta Universidad Científica del Sur, Lima, Perú. https://orcid.org/0000-0001-9719-1875
José Paz-Ibarra División de Endocrinología, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú. Departamento de Medicina. Facultad de Medicina. Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0002-2851-3727

DOI:

https://doi.org/10.17843/rpmesp.2024.414.14228

Keywords:

Subacute Thyroiditis, Thyrotoxicosis, Scintigraphy, Dengue, Case Reports

Abstract

Expanded dengue syndrome are unusual conditions, such as subacute thyroiditis (SAT). We present the case of a 38-year-old woman who had dengue without alarm signs for a month, along with cervical pain and increased cervical volume, palpitations, tremor and dysphagia. Hormonal evaluation, ultrasound and
thyroid scintigraphy were consistent with SAT. She received corticoids for two months, with remission after
four months. SAT is characterized by neck pain, fever and symptoms of thyrotoxicosis. It is associated with
viral infections and it comprises a phase of thyrotoxicosis followed by hypothyroidism. Diagnosis involves hormonal and biochemical tests, thyroid ultrasound with Doppler and scintigraphy. This condition is managed with non-steroidal anti-inflammatory drugs and corticosteroids, according to severity. SAT, an infrequent manifestation of dengue, requires a high degree of suspicion and appropriate management. A review of published cases of SAT due to dengue was carried out in the Scopus, PubMed and Web of Science databases, finding six reported cases, mostly in men.

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