De Quervain's thyroiditis: cervical pain with odynophagia and fever as initial presentation.
DOI:
https://doi.org/10.35954/SM2015.34.2.8Keywords:
De Quervain's disease; Hyperthyroidism; De Quervain's thyroiditisAbstract
Introduction: Subacute, granulomatous or De Quervain's thyroiditis constitutes 5% of thyroid diseases. Its diagnosis is eminently clinical. The typical picture includes anterior cervical pain, diffuse goiter and altered thyroid function that follows a predictable course in most cases. When it does not present with this typical triad, it can be difficult to diagnose.
Case Report: We will describe the case of a 60-year-old man with a subacute thyroiditis of clinical presentation with odynophagia and fever, in which it was initially interpreted as an acute pharyngotonsillitis of unusual course.
Conclusions: The locoregional presentation in the neck accompanied by fever immediately mimics a pharyngeal infection. The prompt improvement of pharyngeal infections with or without antimicrobials and the inexistence of resistance in Streptococcus yogenes should lead us to think of other etiologies such as De Quervain's thyroiditis.
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