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Cheung B, Levy C, Cheung M, Dhanaraja A, Abraham R, Duvoor C. Acute suppurative thyroiditis seeded from infective endocarditis and intravenous drug use. IDCases 2021; 25:e01221. [PMID: 34295645 PMCID: PMC8282969 DOI: 10.1016/j.idcr.2021.e01221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 07/06/2021] [Accepted: 07/06/2021] [Indexed: 11/30/2022] Open
Abstract
AST is a rare infection of the thyroid gland and usually requires empiric antimicrobial therapy. Patients with AST can present with euthyroidism, hypothyroidism, or hyperthyroidism. Antithyroid drugs are not indicated in patients with AST.
Acute suppurative thyroiditis (AST) is a rare infection of the thyroid gland, and most patients are euthyroid upon presentation. We present an interesting case of a 42-year-old man with a history of intravenous drug use (IVDU) and poorly controlled type 2 diabetes mellitus who was admitted for sepsis and thyrotoxicosis from infective endocarditis (IE), AST, prostate abscess, and pyelonephritis. He suffered from a cerebral vascular accident (CVA) from septic embolic showering. Thyroid-stimulating hormone (TSH) was <0.10 mIU/L, and free thyroxine (T4) levels were>90 pmol/L. Methicillin-resistant Staphylococcus aureus (MRSA) was cultured in the patient’s blood and urine. He was treated with prompt intravenous (IV) antimicrobials and source control from a transurethral resection of the prostate. This case demonstrates that AST can be a potential complication of IE and IVDU.
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Affiliation(s)
- Brian Cheung
- Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI, 49008, United States
- Saint Bernards Healthcare, 300 Carson Street, Jonesboro, AR, 72401, United States
- Corresponding author at: 300 Carson Street, Jonesboro, AR, 72401, United States.
| | - Chris Levy
- Western Michigan University Homer Stryker M.D. School of Medicine, 1000 Oakland Drive, Kalamazoo, MI, 49008, United States
| | - Michelle Cheung
- California State University – Fullerton, 800 North State College Boulevard, Fullerton, CA, 92831, United States
| | - Amirtharaj Dhanaraja
- Saint Bernards Healthcare, 300 Carson Street, Jonesboro, AR, 72401, United States
| | - Renny Abraham
- Saint Bernards Healthcare, 300 Carson Street, Jonesboro, AR, 72401, United States
| | - Chitharanjan Duvoor
- Saint Bernards Healthcare, 300 Carson Street, Jonesboro, AR, 72401, United States
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Duvoor C, Dendi VS, Marco A, Shekhawat NS, Chada A, Ravilla R, Musham CK, Mirza W, Chaudhury A. Commentary: ATP: The crucial component of secretory vesicles: Accelerated ATP/insulin exocytosis and prediabetes. Front Physiol 2017; 8:53. [PMID: 28210227 PMCID: PMC5288386 DOI: 10.3389/fphys.2017.00053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 01/19/2017] [Indexed: 02/03/2023] Open
Affiliation(s)
- Chitharanjan Duvoor
- Department of Endocrinology and Internal Medicine, University of Arkansas for Medical SciencesLittle Rock, AR, USA; GIM FoundationLittle Rock, AR, USA
| | - Vijaya S Dendi
- GIM FoundationLittle Rock, AR, USA; Department of Internal Medicine and Hospital Medicine, Christus Trinity Mother Frances HospitalTyler, TX, USA
| | - Asween Marco
- GIM FoundationLittle Rock, AR, USA; Department of Policy, University of Arkansas for Little RockLittle Rock, AR, USA
| | - Nawal S Shekhawat
- GIM FoundationLittle Rock, AR, USA; Tutwiler ClinicTutwiler, MS, USA
| | - Aditya Chada
- GIM FoundationLittle Rock, AR, USA; Department of Pulmonary and Critical Care Medicine, University of Arkansas for Medical SciencesLittle Rock, AR, USA
| | - Rahul Ravilla
- GIM FoundationLittle Rock, AR, USA; Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical SciencesLittle Rock, AR, USA
| | - Chaitanya K Musham
- GIM FoundationLittle Rock, AR, USA; St. Vincent Infirmary (Catholic Health Initiative)Little Rock, AR, USA
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Chaudhury A, Duvoor C, Reddy Dendi VS, Kraleti S, Chada A, Ravilla R, Marco A, Shekhawat NS, Montales MT, Kuriakose K, Sasapu A, Beebe A, Patil N, Musham CK, Lohani GP, Mirza W. Clinical Review of Antidiabetic Drugs: Implications for Type 2 Diabetes Mellitus Management. Front Endocrinol (Lausanne) 2017; 8:6. [PMID: 28167928 PMCID: PMC5256065 DOI: 10.3389/fendo.2017.00006] [Citation(s) in RCA: 601] [Impact Index Per Article: 85.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Accepted: 01/09/2017] [Indexed: 12/31/2022] Open
Abstract
Type 2 diabetes mellitus (T2DM) is a global pandemic, as evident from the global cartographic picture of diabetes by the International Diabetes Federation (http://www.diabetesatlas.org/). Diabetes mellitus is a chronic, progressive, incompletely understood metabolic condition chiefly characterized by hyperglycemia. Impaired insulin secretion, resistance to tissue actions of insulin, or a combination of both are thought to be the commonest reasons contributing to the pathophysiology of T2DM, a spectrum of disease originally arising from tissue insulin resistance and gradually progressing to a state characterized by complete loss of secretory activity of the beta cells of the pancreas. T2DM is a major contributor to the very large rise in the rate of non-communicable diseases affecting developed as well as developing nations. In this mini review, we endeavor to outline the current management principles, including the spectrum of medications that are currently used for pharmacologic management, for lowering the elevated blood glucose in T2DM.
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Affiliation(s)
- Arun Chaudhury
- GIM Foundation, Little Rock, AR, USA
- *Correspondence: Arun Chaudhury, ; Wasique Mirza,
| | - Chitharanjan Duvoor
- GIM Foundation, Little Rock, AR, USA
- University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA
| | | | - Shashank Kraleti
- University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA
| | - Aditya Chada
- GIM Foundation, Little Rock, AR, USA
- University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA
| | - Rahul Ravilla
- GIM Foundation, Little Rock, AR, USA
- University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA
| | - Asween Marco
- GIM Foundation, Little Rock, AR, USA
- University of Arkansas for Little Rock (UALR), Little Rock, AR, USA
| | | | | | | | - Appalanaidu Sasapu
- University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA
| | | | - Naveen Patil
- Arkansas Department of Health, Little Rock, AR, USA
| | | | | | - Wasique Mirza
- The Wright Center for Graduate Medical Education, Scranton, PA, USA
- *Correspondence: Arun Chaudhury, ; Wasique Mirza,
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Abstract
Thoracic splenosis is rare benign condition that follows trauma leading to diaphragmatic injury. Most of the patients including ours present with a clear traumatic event leading to autotransplantation of spleen in thoracic cavity. Mostly diagnosed incidentally and we need to avoid unnecessary workup including radiological and invasive. It is a very important case which signifies importance of good history taking and initial imaging for making diagnosis and making our pulmonogist and internist aware of this diagnosis.
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Affiliation(s)
- Jagpal Singh Klair
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Chitharanjan Duvoor
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Nikhil Meena
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
- Department of Pulmonary and Critical Care, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
- Corresponding author. Division of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences (UAMS), 4301 W. Markham Street, Little Rock 72205, USA.
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