Cervical Lymphadenitis, Suppurative Parotitis, Thyroiditis, and Infected Cysts

Al-Dajani, Nawaf; Wootton, Susan H.

doi:10.1016/j.idc.2007.03.004

Cited by 81 publications

(64 citation statements)

References 54 publications

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“…Acute suppurative thyroiditis is a very rare clinical entity, accounting for only 0.1 to 0.7% of all thyroid pathology (2). A thyrotoxic presentation has been noted in only 8 to 12% of the cases (3,4).…”

Section: Discussionmentioning

confidence: 99%

Haemophilus Influenzae As A Rare Cause Of Acute Suppurative Thyroiditis With Thyrotoxicosis And Thyroid Abscess Formation In A Patient With Pre-Existent Multinodular Goiter

Martin

Kausel

Albu

2017

AACE Clinical Case Reports

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Objective: The objective of this case report was to highlight the importance of isolating the thyroid as the source of infection in toxic-appearing patients with preexistent thyroid nodules who present with neck pain.Methods: The clinical presentation, evaluation, laboratory results, imaging findings, and management of a patient with acute suppurative Haemophilus influenzae thyroiditis are presented.Results: A 55-year-old female with known nodular goiter presented with an acute increase in the size of her thyroid, neck pain, fever, and symptoms of hyperthyroidism. Laboratory studies were remarkable for leukocytosis, elevated inflammatory markers, and elevated free thyroid hormones. A computed tomography scan of the neck showed possible areas of abscess formation in the left thyroid lobe, and a radioactive iodine uptake showed a diffuse uptake of 0.9% at 5 hours and 0.5% at 24 hours. Blood cultures and culture from a left thyroid nodule aspirate grew H. influenzae. Initial management included broad-spectrum antibiotics and beta-blockers. Given the lack of clinical improvement, a left hemithyroidectomy was performed. Pathologic examination demonstrated an extensively infarcted adenomatoid nodule with abscess formation. There were no procedural complications, and the patient was discharged in stable condition.Conclusion: Suppurative thyroiditis is an uncommon but potentially serious disorder. This condition should be considered in any patient with known thyroid abnormalities who presents with neck pain. Early diagnosis is vital to guide the proper antimicrobial therapy and the required surgical interventions. With appropriate management, the prognosis is usually excellent. (AACE Clinical Case Rep. 2017;3:e251-e254) Abbreviation: FNA = fine-needle aspiration

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Section: Discussionmentioning

confidence: 99%

Haemophilus Influenzae As A Rare Cause Of Acute Suppurative Thyroiditis With Thyrotoxicosis And Thyroid Abscess Formation In A Patient With Pre-Existent Multinodular Goiter

Martin

Kausel

Albu

2017

AACE Clinical Case Reports

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“…Os abscessos podem destruir inteiramente tanto a tireoide quanto as paratireoides (originando deficiên cias hormonais permanentes), estenderse às estruturas adjacentes causando compressões, fístulas para esôfago e traqueia, paralisia de cordas vocais e tromboflebites (10). Além disso, pode ocorrer disseminação a distância com septicemia e morte.…”

Section: Discussionunclassified

“…A escolha do esquema de antibió ticos fundamentase nos resultados da bacterioscopia pelo método de Gram e cultura do material aspirado por punção ou drenagem cirúrgica, devendo ser ini ciado antes da obtenção desses resultados, de forma empírica, com antibióticos de amplo espectro cobrindo especialmente os cocos Grampositivos (13,10).…”

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Tireoidite supurativa aguda com múltiplas complicações

Fonseca

Avvad²,

Sanchez

et al. 2012

Arq Bras Endocrinol Metab

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SUMÁRIOA tireoidite supurativa aguda é uma desordem rara, mais frequentemente causada pelo Staphylococcus aureus ou Streptococcus pneumoniae, e atinge particularmente crianças com fístula do seio piriforme. Em adultos, a disseminação por via hematogênica a partir de foco infeccioso em orofaringe ou trato respiratório parece ser o principal mecanismo patogênico.Os sinais e sintomas iniciais da tireoidite aguda são semelhantes aos da faringite aguda e da tireoidite subaguda. Esse fato frequentemente retarda o diagnóstico dessa doença e aumenta o risco de complicações. Relatamos o caso de um paciente masculino de 28 anos, previamente saudável, que, após quadro de amigdalite, apresentou tireoidite aguda complicada por tireoto xicose, volumoso abscesso no lobo direito da tireoide, que se estendia à abertura superior do tórax com desvio da traqueia e compressão de grandes vasos, associado à trombose de veia jugular interna e sepse. Arq Bras Endocrinol Metab. 2012;56(6):388-92

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“…1,[6][7][8][11][12][13] Existen diversos sinónimos para este padecimiento: parotiditis recurrente juvenil, sialoadenitis supurativa, parotiditis supurativa y parotiditis piógena infantil. [3][4][5]8,14 Epidemiología En la infancia la frecuencia máxima de incidencia es entre 2 y 7 años de edad, con una distribución igual en ambos géneros. Es una enfermedad poco frecuente en pacientes adultos, aun cuando existen reportes de casos en ese grupo de edad 3,5,8 es más común durante la tercera a cuarta décadas de la vida y es más frecuente en mujeres con una relación hombre-mujer de 1:7.5.…”

Section: Introductionunclassified

Sialoadenitis bacteriana crónica recurrente de la infancia. Caracterización clínica

Ávila-Sánchez¹,

Téllez-Rodríguez²,

López-Fernández³

2015

Acta Pediatr Mex

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Childhood chronic recurrent bacterial sialadenitis. Clinical characterization RESUMENLa sialoadenitis recurrente es el segundo cuadro inflamatorio más frecuente que afecta a la glándula parótida, precedida por la parotiditis viral. Esta afección tiene un cuadro clínico muy similar a la sialoadenitis, motivo por el cual se debe considerar dentro de los diagnósticos diferenciales. La sialoadenitis recurrente se caracteriza por episodios periódicos de inflamación y aumento de volumen de la glándula parótida acompañados de fiebre y malestar general que alternan con intervalos de remisión en los que la glándula es clínicamente asintomática. En el Instituto Nacional de Pediatría consideramos al concepto Sialoadenitis bacteriana crónica recurrente de la infancia como la definición más específica y completa para referirse a esta enfermedad. Debido a su recurrencia decidimos escribir este artículo para señalar sus características clínicas. ABSTRACTRecurrent sialadenitis is the second most common inflammatory condition that affects the parotid gland, preceded by viral parotitis; pathology is it clinically very similar to sialadenitis, for which reason in should be considered in the differential diagnosis. Recurrent sialadenitis is characterized by periodic inflammatory episodes increased volume of the in the parotid gland, fever and malaise, alternating with intervals of remission, in which the gland is clinically asymptomatic. In our experience at the National Institute of Pediatrics, we consider the term chronic recurrent bacterial sialadenitis of childhood, as the specific and complete definition of this disease. In view of its recurrence, we decided to write this article indicating clinical characteristics of this pathology.

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Cervical Lymphadenitis, Suppurative Parotitis, Thyroiditis, and Infected Cysts

Cited by 81 publications

References 54 publications

Haemophilus Influenzae As A Rare Cause Of Acute Suppurative Thyroiditis With Thyrotoxicosis And Thyroid Abscess Formation In A Patient With Pre-Existent Multinodular Goiter

Haemophilus Influenzae As A Rare Cause Of Acute Suppurative Thyroiditis With Thyrotoxicosis And Thyroid Abscess Formation In A Patient With Pre-Existent Multinodular Goiter

Tireoidite supurativa aguda com múltiplas complicações

Sialoadenitis bacteriana crónica recurrente de la infancia. Caracterización clínica

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