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Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit

BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a novel coronavirus that has caused a worldwide pandemic. The majority of medullary thyroid cancers present as a thyroid nodule. At the time of diagnosis, cervical lymph nodes and distant metastases are frequently detected....

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Autores principales: Sira, Livia, Balogh, Zoltán, Vitális, Eszter, Kovács, Dávid, Győry, Ferenc, Molnár, Csaba, Bodor, Miklos, Nagy, Endre V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543013/
https://www.ncbi.nlm.nih.gov/pubmed/34707568
http://dx.doi.org/10.3389/fendo.2021.727320
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author Sira, Livia
Balogh, Zoltán
Vitális, Eszter
Kovács, Dávid
Győry, Ferenc
Molnár, Csaba
Bodor, Miklos
Nagy, Endre V.
author_facet Sira, Livia
Balogh, Zoltán
Vitális, Eszter
Kovács, Dávid
Győry, Ferenc
Molnár, Csaba
Bodor, Miklos
Nagy, Endre V.
author_sort Sira, Livia
collection PubMed
description BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a novel coronavirus that has caused a worldwide pandemic. The majority of medullary thyroid cancers present as a thyroid nodule. At the time of diagnosis, cervical lymph nodes and distant metastases are frequently detected. CASE REPORT: Here, we present a case of a 46-year-old man with coronavirus disease (COVID) pneumonia, who had persistently high serum procalcitonin levels despite normal C-reactive protein levels. The attending infectologist happened to be a colleague who spent some time, as part of her internal medicine rotation, in the Endocrine Ward and recalled that medullary thyroid cancer might be the cause. This led to the timely workup and treatment of the medullary cancer.
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spelling pubmed-85430132021-10-26 Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit Sira, Livia Balogh, Zoltán Vitális, Eszter Kovács, Dávid Győry, Ferenc Molnár, Csaba Bodor, Miklos Nagy, Endre V. Front Endocrinol (Lausanne) Endocrinology BACKGROUND: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a novel coronavirus that has caused a worldwide pandemic. The majority of medullary thyroid cancers present as a thyroid nodule. At the time of diagnosis, cervical lymph nodes and distant metastases are frequently detected. CASE REPORT: Here, we present a case of a 46-year-old man with coronavirus disease (COVID) pneumonia, who had persistently high serum procalcitonin levels despite normal C-reactive protein levels. The attending infectologist happened to be a colleague who spent some time, as part of her internal medicine rotation, in the Endocrine Ward and recalled that medullary thyroid cancer might be the cause. This led to the timely workup and treatment of the medullary cancer. Frontiers Media S.A. 2021-10-11 /pmc/articles/PMC8543013/ /pubmed/34707568 http://dx.doi.org/10.3389/fendo.2021.727320 Text en Copyright © 2021 Sira, Balogh, Vitális, Kovács, Győry, Molnár, Bodor and Nagy https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Sira, Livia
Balogh, Zoltán
Vitális, Eszter
Kovács, Dávid
Győry, Ferenc
Molnár, Csaba
Bodor, Miklos
Nagy, Endre V.
Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
title Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
title_full Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
title_fullStr Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
title_full_unstemmed Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
title_short Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
title_sort case report: medullary thyroid cancer workup initiated by unexpectedly high procalcitonin level—endocrine training saves life in the covid-19 unit
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543013/
https://www.ncbi.nlm.nih.gov/pubmed/34707568
http://dx.doi.org/10.3389/fendo.2021.727320
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