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

BackgroundSevere 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.Cas...

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Main Authors: Livia Sira, Zoltán Balogh, Eszter Vitális, Dávid Kovács, Ferenc Győry, Csaba Molnár, Miklos Bodor, Endre V. Nagy
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2021.727320/full
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author Livia Sira
Zoltán Balogh
Eszter Vitális
Dávid Kovács
Ferenc Győry
Csaba Molnár
Miklos Bodor
Endre V. Nagy
author_facet Livia Sira
Zoltán Balogh
Eszter Vitális
Dávid Kovács
Ferenc Győry
Csaba Molnár
Miklos Bodor
Endre V. Nagy
author_sort Livia Sira
collection DOAJ
description BackgroundSevere 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 ReportHere, 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 doaj.art-bdd7f2e7d9eb42e1a0742c6b2e8024052022-12-21T21:45:53ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-10-011210.3389/fendo.2021.727320727320Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 UnitLivia Sira0Zoltán Balogh1Eszter Vitális2Dávid Kovács3Ferenc Győry4Csaba Molnár5Miklos Bodor6Endre V. Nagy7Division of Endocrinology, Department of Medicine, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDivision of Endocrinology, Department of Medicine, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDivision of Infectious Diseases, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDepartment of Surgery, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDepartment of Surgery, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDepartment of Pathology, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDivision of Endocrinology, Department of Medicine, Faculty of Medicine, University of Debrecen, Debrecen, HungaryDivision of Endocrinology, Department of Medicine, Faculty of Medicine, University of Debrecen, Debrecen, HungaryBackgroundSevere 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 ReportHere, 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.https://www.frontiersin.org/articles/10.3389/fendo.2021.727320/fullmedullary thyroid cancerendocrine rotationcalcitoninprocalcitoninsevere acute respiratory syndrome coronavirus 2
spellingShingle Livia Sira
Zoltán Balogh
Eszter Vitális
Dávid Kovács
Ferenc Győry
Csaba Molnár
Miklos Bodor
Endre V. Nagy
Case Report: Medullary Thyroid Cancer Workup Initiated by Unexpectedly High Procalcitonin Level—Endocrine Training Saves Life in the COVID-19 Unit
Frontiers in Endocrinology
medullary thyroid cancer
endocrine rotation
calcitonin
procalcitonin
severe acute respiratory syndrome coronavirus 2
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 medullary thyroid cancer
endocrine rotation
calcitonin
procalcitonin
severe acute respiratory syndrome coronavirus 2
url https://www.frontiersin.org/articles/10.3389/fendo.2021.727320/full
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