Thyroid abscess is a rare clinical condition. A prompt diagnosis is important because it may progress rapidly into a life-threatening condition. The common causative organisms responsible for thyroid abscess are Staphylococci and Streptococci species. We present a very unusual case of a diabetic patient, without previous thyroid disease, showing clinical symptoms of thyroid abscess associated with a deep neck infection (prevertebral space), both caused by Klebsiella pneumoniae. A delay in diagnosis of morbidities associated with a thyroid abscess may result in rapid exacerbation of this condition. Therefore, prompt and appropriate treatment is mandatory for a successful outcome. The patient was managed with open surgical drainage
abscess and appropriate antimicrobial intravenous antibiotics
Key words: Thyroid abscess. Klebsiella. ESBL. Cervicotomy. Deep neck infection
vealed the prevalence of benign vocal cord lesions (i.e., vocal nodules, cysts, polyps and leukoplakia) in South Korea, as investigated in a large-scale nationwide epidemiological study over 4 years. The results revealed that 1.96% (385/19636 adult subjects) were positive for abnormal findings with organic laryngeal disease, not taking into account other laryngeal pathologies, for example, paralysis recurrent laryngeal nerve, muscle tension dysphonia and spasmodic dysphonia, as well as laryngeal cancer [2]. This finding highlights the demand for methods to comprehensively assess pathological voice at the initial stage of disease, and to track the outcomes of specific voice prevention, education, and treatment programs. Voice assessment is multidimensional and includes laryngeal examination, aerodynamic measurement, acoustic evaluation, and perceptual analysis to determine how severe the alteration is and which aspects of voice production are involved with the voice disorder [3].
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