Usually healthy middle aged woman presented with sore
throat, fever, chills, muscle pain, fatigue and cough. She was checked for
strep, influenza, all negative. Sent home with possible viral/flu like illness.
URI. Few days later she called again, came in complaining of neck pain.
The patient had anterior neck pain. Upon further examination clearly tender
thyroid gland. The blood test showed elevated white blood cell count and high sedimentation ESR(erthroycyte sedimentation rate), which
indicates infection or inflammation.
However, the blood test showed normal thyroid function.
She was started on low dose of steroids and anti inflammation medications
with a a dramatic pain reduction response of the thyroid gland. Ultrasound showed signs of inflammation.
I just find it so crazy that an inflammation of a gland can just happen so spontaneously.
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