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Detection of Sars-Cov-2 antigens in thyroid gland showing histopathological features of subacute thyroiditis

Hrvoje Jakovac

Hrvoje Jakovac Department of Physiology, Immunology and Pathophysiology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

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Antun Ferenčić

Antun Ferenčić Department of Forensic Medicine and Criminalistics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

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Christophe Stemberger

Christophe Stemberger Department of Pathology, Clinical Hospital Centre Rijeka, Rijeka, Croatia

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Bojana Mohar Vitezić

Bojana Mohar Vitezić Department of Microbiology and Parasitology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

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Dražen Cuculić

Dražen Cuculić Department of Forensic Medicine and Criminalistics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

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The clinical and laboratory findings of subacute thyroiditis have been repeatedly reported as being associated with acute Sars-Cov-2 infection and post-COVID-19 syndrome. The exact mechanisms and histopathological correlations underlying thyroid involvement remained unresolved, but current insights suggest either direct viral damage, systemic inflammatory reaction, or an autoimmune response as possible noxious effectors. Here we present findings of immunohistochemical/immunofluorescence detection of Sars-Cov-2 viral proteins (spike/S and nucleocapside proteins) in relation to histoarchitectonic changes of autoptic thyroid tissue obtained from patient who deceased from COVID-19.