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

Frontiers in Endocrinology

Csaba Molnár¹  Dávid Kovács²  Ferenc Győry²  Miklos Bodor³  Zoltán Balogh³  Livia Sira³  Endre V. Nagy³  Eszter Vitális⁴ 

[1] Department of Pathology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;Department of Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;Division of Endocrinology, Department of Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;Division of Infectious Diseases, Faculty of Medicine, University of Debrecen, Debrecen, Hungary;

关键词: medullary thyroid cancer;    endocrine rotation;    calcitonin;    procalcitonin;    severe acute respiratory syndrome coronavirus 2;   

DOI  :  10.3389/fendo.2021.727320

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown