{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:33:29Z","timestamp":1776832409384,"version":"3.51.2"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2022,4,29]]},"abstract":"<jats:p>A previously well 32-year-old Chinese male presented with acute bilateral upper and lower limb paralysis upon waking, ten days after the onset of COVID-19 infection. Examination revealed areflexia over all four limbs, associated with reduced muscle strength, but no sensory or cranial nerve deficit. Initial concern was Guillain-Barre syndrome given the acute flaccid paralysis following COVID-19 infection. However, investigations revealed severe hypokalaemia (1.7\u2009mmol\/L) and primary hyperthyroidism. He was treated for thyrotoxic periodic paralysis (TPP) with \u03b2-blockers, antithyroid medications, and intravenous potassium chloride (KCl). Despite frequent monitoring of potassium, rebound hyperkalaemia occurred with prompt resolution of paralysis.<\/jats:p>","DOI":"10.1155\/2022\/5827664","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T21:35:17Z","timestamp":1651268117000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Acute Flaccid Tetraparesis after COVID-19 Infection: Think of the Thyroid"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5451-788X","authenticated-orcid":true,"given":"Sarah Ying Tse","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Changi General Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaqing","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Changi General Hospital, 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