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

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