Thyroid Crisis in A Toxic Multinodular Goiter Patient Triggered by A Den-3 Subtype Dengue Infection
I. Made Pande Dwipayana1, I. B. Aditya Nugraha1, Siswadi Semadi1 and I. Made Suma Wirawan2

1Division of Endocrine and Metabolic, Department of Internal Medicine, Faculty of Medicine, Udayana University-Sanglah General Hospital Denpasar Bali.

2Faculty of Medicine, Udayana University Denpasar Bali.

Corresponding Author E-mail: dwipayanapande@yahoo.com

Abstract: Male 33 years old patient came with complaint of fever. Positive NS1 and DEN-3 dengue virus were revealed. Patient also with multiple nodules thyroid gland with increased of thyroxine hormone level and Burch Wartofsky 45. Patient was dignosed of thyroid crisis triggered by Den-3 serotype of dengue virus. It was life-threatening case and treated at high care unit. Early diagnosed and prompt treatment safe patient life.

Keywords: Thyroid crisis; thyroxine hormone; DEN-3 serotype dengue virus; multiple nodules thyroid

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