A Rare Case of Hepatitis E Induced Viral Thyroiditis

We report a one of its kind case of a 26-year-old Gentleman, who had initially presented to our hospital with acute symptoms of viral hepatitis. Initial laboratory studies done revealed an elevated liver function test with an elevated Anti-HEV serology and thus the patient was diagnosed and managed for Viral Hepatitis E. The patient had no prior history of any co-morbid conditions but was found to have an elevated TSH and symptomatic features that were highly suggestive of an subacute viral granulomatous thyroiditis, which is a rare and unheard presentation with acute Hep E viral symptomatology. We further concluded that the Viral Hepatitis E was the most likely culprit responsible for the Subacute Inflammatory Thyroiditis and the elevated TSH seen on the blood work up. This is a very rare and odd, unknown presentation of Hepatitis E virus.