Open AccessAn uncommon cause of fever in a patient with hyperthyroidism
Author(s) -
Krishna Prabha Gautam,
Kanakkankotil Unnikrishnan Lijesh,
John Jude,
Rachna Gupta,
Thomas Paul
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_933_19
Subject(s) - medicine , melioidosis , burkholderia pseudomallei , thyroid storm , disease , diabetes mellitus , intensive care medicine , primary care , pediatrics , thyroid disease , sepsis , thyroid , pathology , endocrinology , family medicine , genetics , bacteria , biology
Fever as an indicator of disease has always been and remains a clinical symptom of great importance. It may be a manifestation of any inflammatory process of the thyroid and also may be presenting feature of thyroid storm. Melioidosis, is an infection caused by the gram negative bacterium Burkholderia pseudomallei and the commonest co-morbidity observed in India is diabetes mellitus. Here we present a case of Graves disease (hyperthyroidism) who was referred by primary care physician with history of prolonged fever of more than one month duration and later diagnosed to have melioidosis. It is important in primary care setting as family physicians need to be aware of this infection as it can affect many organs and early diagnosis and treatment will result in cure of this condition.