Unusual Presentation and Novel Treatment of Granulomatous Thyroiditis: A Rare and  Interesting Case

Ramakanth Bhargav Panchangam; Sabaretnam Mayilvaganan; D. Vnssvams Mahalakshmi; Poongkodi Karunakaran; Pradeep Puthenveetil

Research Article Open access CC BY 4.0

Unusual Presentation and Novel Treatment of Granulomatous Thyroiditis: A Rare and Interesting Case

Ramakanth Bhargav Panchangam, Sabaretnam Mayilvaganan, D. Vnssvams Mahalakshmi, Poongkodi Karunakaran, Pradeep Puthenveetil

Asian Journal of Case Reports in Surgery · pp. 72–76 · Published 27 Jan 2021

Abstract

Granulomatous thyroiditis (GT) is one of the various types of autoimmune thyroiditis. Although, it usually occurs in women of reproductive age in peri-gestational period. We present a case of GT in a sixty year old gentleman presenting with pyrexia of unknown origin lasting for 12 months. On comprehensive evaluation, no other sources of chronic inflammatory disease causing fever were found. Surgical total thyroidectomy was performed as no other treatment was relieving his fever. Surprisingly his fever resolved completely at followup. In this context, we report this unusual clinical presentation of PUO due to GT and the role of total thyroidectomy as a treatment option.

Thyroiditis thyroidectomy fever hypothyroidism autoimmunity.

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Ramakanth Bhargav Panchangam, Sabaretnam Mayilvaganan, D. Vnssvams Mahalakshmi, Poongkodi Karunakaran, Pradeep Puthenveetil (2021). Unusual Presentation and Novel Treatment of Granulomatous Thyroiditis: A Rare and Interesting Case. Asian Journal of Case Reports in Surgery , 72–76.

Affiliations

Ramakanth Bhargav Panchangam — Department of Endocrine and Metabolic Surgery, Endocare Hospital, Suryaraopeta, Vijayawada, AP, 520002, India.
Sabaretnam Mayilvaganan — Department of Endocrine Surgery, SGPGIMS, Lucknow, UP, India.
D. Vnssvams Mahalakshmi — Department of Endocrine and Metabolic Surgery, Endocare Hospital, Suryaraopeta, Vijayawada, AP, 520002, India.
Poongkodi Karunakaran — Department of Endocrine Surgery, Government Mohan Kumaramangalam Medical College, Salem, TN, India.
Pradeep Puthenveetil — Department of Endocrine Surgery, Baby Memorial Hospital, Calicut, Kerala, India.

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