Evidence map›Paper›PMID 41229721›Full record

ArticleIndian journal of endocrinology and metabolism

Variation in Thyroid Function Tests in Acute Scrub Typhus Infection.

Sai N Gogineni, Adlyne R Asirvatham, Vasireddy N Tara, Veeraraghava K Ramadesikan, Asha Ranjan, Shriraam Mahadevan

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Article in Indian journal of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sai N GogineniDepartment of Endocrinology and Metabolism, SRMC, Porur, Chennai, Tamil Nadu, India.
Adlyne R AsirvathamDepartment of Endocrinology and Metabolism, SRMC, Porur, Chennai, Tamil Nadu, India.
Vasireddy N TaraDepartment of Endocrinology and Metabolism, SRMC, Porur, Chennai, Tamil Nadu, India.
Veeraraghava K RamadesikanDepartment of Clinical Biochemistry, Sundaram Medical Foundation, Chennai, Tamil Nadu, India.
Asha RanjanDepartment of Endocrinology and Metabolism, SRMC, Porur, Chennai, Tamil Nadu, India.
Shriraam MahadevanDepartment of Endocrinology and Metabolism, SRMC, Porur, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immunoassays used to measure thyroid function tests (TFTs) are prone to interference due to several factors that could potentially affect clinical decisions. With increased awareness and frequency of testing TFT, even 1% prevalence of assay interferences would possibly increase the occurrence of deranged TFT significantly. In this study, we report six cases of thyroid hormone assay interference in acute scrub typhus infection. Methods: A prospective observational study was conducted in patients admitted with acute scrub typhus infection. TFT was done for some indication that showed discordance with clinical suspicion. Initial assay was performed by electrochemiluminescence immunoassay (ECLIA) using a Roche Cobas e411 analyzer, which was verified by Chemiluminescent Microparticle Immuno Assay (CMIA) with an ARCHITECT i1000SR analyzer. Results: Initial TFT done by ECLIA showed elevated FT4 and FT3(FT4>> FT3) with a normal or low-normal TSH in all cases. Samples were re-analyzed in the CMIA platform within 24 hours, which showed normal TFT, raising the suspicion of assay interference. TFT performed by ECLIA 6 weeks after recovery was normal in all patients. Conclusion: Assay interference with TFT should always be considered when there is a discrepancy between clinical suspicion and biochemical values. It is prudent to confirm abnormal values on another platform to avoid misdiagnosis and unwarranted therapeutic decisions.

Indexed as

Assay interferencefree thyroid hormonesscrub typhus

Identifiers

PMID41229721
PMCPMC12604834

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