Unusual Presentation and Novel Treatment of Granulomatous Thyroiditis: A Rare and Interesting Case

Granulomatous thyroiditis (GT) is one of the various types of autoimmune thyroiditis. Although, it usually occurs in women of reproductive age in peri-gestational period. We present a case of GT in a sixty year old gentleman presenting with pyrexia of unknown origin lasting for 12 months. On comprehensive evaluation, no other sources of chronic inflammatory disease causing fever were found. Surgical total thyroidectomy was performed as no other treatment was relieving his fever. Surprisingly his fever resolved completely at followup. In this context, we report this unusual clinical presentation of PUO due to GT and the role of total thyroidectomy as a treatment option.