Exacerbation of Hashimoto’s Thyroiditis and Onset of Fibromyalgia as Possible Components of Post-COVID-19 Syndrome: A Case Report

Alexandra Rhodes

Department of General Surgery, Burrell College of Osteopathic Medicine at New Mexico State University, USA

^*Correspondance to: Alexandra Rhodes 

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Abstract:

Background: Post-COVID-19 syndrome, an ill-defined sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection, and its diagnostic symptoms are routinely being investigated and updated, but currently comprise a wide array of manifestations. Per currently available literature, most frequently reported presentations include fatigue, chronic dyspnea, cognitive impairments, and gastrointestinal upset. To date, no symptoms indicative of thyroid disease or fibromyalgia have been reports as constituents of post-COVID-19 syndrome. Case Report: We present a case of persistently abnormal thyroid function tests despite appropriate treatment and the development of symptoms consistent with fibromyalgia following a COVID-19 infection in a 44-year-old female with a past medical history of Hashimoto’s thyroiditis, alcohol use disorder, depression, and obesity. She reported continuous sinus pressure and congestion, fatigue, cognitive impairments, gastrointestinal upset and discomfort, shortness of breath, headache, hematuria, arthralgias and myalgias, and worsening depression that progressively intensified over three years following her initial COVID-19 infection. Despite multiple emergency department and primary care visits, a definitive cause of her symptoms was not determined; however, following consultation with internal medicine, a post-COVID-19 syndrome was suspected. Conclusion: Thyroid disease and fibromyalgia have not been identified as chronic ramifications of SARS-CoV-2 infection, though long-term consequences of a COVID-19 infection are presently being investigated and apprised. While a conclusive diagnosis of post-COVID-19 syndrome cannot be made for our subject, we suspect her exacerbation of Hashimoto’s thyroiditis and her other tenacious, ill-defined fibromyalgia-like symptoms to be sequelae of her initial 2020 COVID-19 infection.

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Cite the Article:

Alexandra Rhodes. Exacerbation of Hashimoto’s Thyroiditis and Onset of Fibromyalgia as Possible Components of Post-COVID-19 Syndrome: A Case Report. Ann Clin Case Rep. 2024; 9: 2674..