Acute suppurative thyroiditis in infected thyroid cyst in an adult patient under hemodialysis

Ishii, Hiroyuki; Yoshino, Hiroshi; Hijikata, Mai; Kumashiro, Naoki; Ando, Yumiko; Uchino, Hiroshi; Tsuboi, Kumiko; Hirose, Takahisa

doi:10.1002/ccr3.861

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Sun et al [ 9 ] reported a case of thyroid cyst after fine needle aspiration biopsy (FNAB) complicated by anaerobic bacterial thyroid abscess, surmising that the abscess could have been caused by bacterial contamination from the FNAB process. Igarashi et al [ 10 ] reported a case of acute purulent infection of a thyroid cyst in a hemodialysis patient, speculating that the infection was closely related to bacterial contamination and low systemic immunity during hemodialysis. DM can increase the risk of infection[ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus: A case report

Liu,

Zhang,

Jiang

et al. 2024

World J Clin Cases

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BACKGROUND Patients rarely develop complicated infections in thyroid cysts. Here, we describe a patient with chronic infected unilateral giant thyroid cyst related to diabetes mellitus (DM). CASE SUMMARY A 66-year-old male was admitted due to an evident neck lump for 5 d after approximately 40 years of gradually progressive neck mass and 7 years of DM. Doppler ultrasound and computed tomography scan showed a giant lump in the left thyroid gland lobe. He was diagnosed with a large thyroid nodule complicated by tracheal dislocation and had surgical indications. Surgical exploration revealed evident inflammatory edema and exudation between the left anterior neck muscles, the nodule and glandular tissue. Fortunately, inflammatory lesions did not affect major neck vessels. Finally, a left partial thyroidectomy was performed. Macroscopic observation showed that the cystic thyroid mass consisted of extensive cystic wall calcification and was rich in massive rough sand-like calculi content and purulent matter. Postoperative pathology confirmed benign thyroid cyst with chronic infection. CONCLUSION The progression of this chronic infectious unilateral giant thyroid cyst may have been related to DM, and identifying blood vessels involvement can prevent serious complications during operation.

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Section: Discussionmentioning

confidence: 99%

Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus: A case report

Liu,

Zhang,

Jiang

et al. 2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…The optimal duration of IV antibiotic therapy is unclear, with expert opinion recommending 14 days [ 2 ]. Isolated case reports have continued IV antibiotics for up to 37 days, even in patients who demonstrated early response [ 17 ]. As our patient lacked signs of airway compromise and a drainable thyroid abscess, and improved rapidly over the first four days, the decision was made by day 8 to transition her to oral antibiotics and discharge on a 14-day total course.…”

Section: Discussionmentioning

confidence: 99%

Acute Suppurative Thyroiditis in an Intravenous Drug User with a Preexisting Goiter

Yegya-Raman

Copeland

Parikh

2018

Case Reports in Medicine

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Acute suppurative thyroiditis (AST) is an uncommon, potentially life-threatening cause of a rapidly enlarging neck mass. It may present similarly to subacute thyroiditis, a relatively benign and self-limiting condition. We report a case of AST in an adult intravenous (IV) drug user with a preexisting goiter who presented with a left forearm abscess that grew methicillin-sensitive Staphylococcus aureus. In this particular case, clinical suspicion for AST was high. As a result, early IV antibiotic therapy was initiated, and this led to rapid clinical improvement furthermore preventing airway compromise. To our knowledge, this is the first case of AST in the literature resulting from likely hematogenous spread in the setting of IV drug use and a preexisting goiter. Overall, this case highlights the importance of assessing risk factors for AST in patients whose presentations may seem more typical of subacute thyroiditis. Such an approach will lead to timely diagnosis and treatment to avoid potentially devastating consequences.

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“…Moreover, AST usually occurs in those who have underlying thyroid pathology, such as neoplastic thyroid nodules, Hashimoto's thyroiditis, subacute thyroiditis, multinodular goiters, or penetrating trauma to the thyroid gland [ 2 ]. Cases reported in older adults were associated with degrees of immunocompromisation, such as infection with HIV [ 4 ], renal failure requiring hemodialysis [ 5 ], or reception of stem cell transplant [ 6 ]. Symptoms of AST include fever, dysphagia, and tender neck mass.…”

Section: Discussionmentioning

confidence: 99%

Methicillin-Sensitive Staphylococcus aureus Suppurative Thyroiditis with Thyrotoxicosis

Yan

Patti

2017

Case Reports in Emergency Medicine

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Intravenous drug use (IVDU) can lead to numerous complications from skin abscesses to bacteremia to endocarditis. Here, we present a rare case of acute suppurative thyroiditis as a complication of IVDU, in which a 26-year-old female with a past medical history of IVDU presented to the emergency department for evaluation of a large right sided neck mass. On exam, she had signs of sepsis and thyrotoxicosis. Fine needle aspiration confirmed suppurative thyroiditis. Blood cultures and culture from fine needle aspiration grew Staphylococcus aureus. Patient was treated with 2 weeks of intravenous antibiotics with good resolution of her symptoms.

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Acute suppurative thyroiditis in infected thyroid cyst in an adult patient under hemodialysis

Cited by 6 publications

References 16 publications

Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus: A case report

Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus: A case report

Acute Suppurative Thyroiditis in an Intravenous Drug User with a Preexisting Goiter

Methicillin-Sensitive Staphylococcus aureus Suppurative Thyroiditis with Thyrotoxicosis

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