Midline cervical swellings: What a paediatrician needs to know

Nightingale, Michael

doi:10.1111/jpc.13759

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…A cytologic analysis should be conducted to rule out an underlying thyroglossal duct cyst carcinoma. 18,19 Given that the patient's blood culture was negative for Salmonella which was isolated from stool and cystic fluid highlights a possible spread of infection even without haematogenous involvement to extra-intestinal sites. The patient presenting for the second time with the same infection of the thyroglossal cyst without any obvious gastrointestinal symptoms may be due to the inadequate duration of treatment of the residual preliminary infection in a remote site.…”

Section: Case Reportmentioning

confidence: 99%

Recurrent Non Typhoidal Salmonella Infection of the Thyroglossal Duct Cyst in a Diabetic Patient - A Case Report

Moses,

Chinniah

2024

Sri Lankan J Infec Dis

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The occurrence of extra-intestinal Salmonella neck infections is uncommon, especially with non-typhoidal Salmonella (NTS). We report a case of non-typhoidal Salmonella infection of a thyroglossal cyst in a 78-year-old diabetic woman admitted with gastroenteritis along with a neck swelling. The ultrasound revealed a thyroglossal cyst and fine needle aspiration cytology (FNAC) was done. Culture of the aspirate grew Salmonella species enterica subspecies enterica serogroup C. The patient was treated with amoxicillin/clavulanic acid for 10 days on discharge. She was readmitted two months later with an increasing neck mass and FNAC was repeated. Culture of the aspirate grew Salmonella species enterica subspecies enterica serogroup C. She was treated with amoxicillin/clavulanic acid for 5 days on discharge. Extra-intestinal infections, though uncommon, should be considered among immune-compromised patients presenting with gastrointestinal symptoms caused by Salmonella species.

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Section: Case Reportmentioning

confidence: 99%

Recurrent Non Typhoidal Salmonella Infection of the Thyroglossal Duct Cyst in a Diabetic Patient - A Case Report

Moses,

Chinniah

2024

Sri Lankan J Infec Dis

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“…Complications of a TGDC include infection from oropharyngeal organisms, with the most common being Haemophilus influenzae , Staphylococcus aureus , and Staphylococcus epidermidis . These infections are treated with antibiotics prior to surgery; however, if an abscess is formed, aspiration or drainage is indicated [ 4 ]. Rare but serious complications include airway obstruction from a rapidly enlarging cyst, but these are most commonly lingual TGDC [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Infected Thyroglossal Duct Cyst in a Neonate: A Report of a Rare Case

2022

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Patient: Female, 3-week-old Final Diagnosis: Thyroglossal duct cyst Symptoms: Infection • neck mass • respiratory distress Medication: — Clinical Procedure: Incision and drainage • Sistrunk’s procedure Specialty: Otolaryngology • Pediatrics and Neonatology Objective: Congenital defects/diseases Background: Thyroglossal duct cysts are the most common congenital cervical anomalies, often presenting as midline neck cysts. The mean age of presentation of pediatric thyroglossal duct cysts varies between 5 and 9 years old, with rare cases younger than 1 year old. This case report details a rare case of an infected thyroglossal duct cyst presenting during the neonatal period as an upper airway obstruction. Case Report: A 3-week-old neonate born full-term with no complications during pregnancy or labor presented with a 5-day history of worsening nasal congestion and upper airway obstruction after an upper respiratory infection. Physical examination revealed a large midline neck mass measuring 3.1×4.2×3.2 cm abutting the hyoid with internal echogenicity consistent with a thyroglossal duct cyst, causing posterior tongue compression of the airway and airway distress. The patient was emergently taken to the operating room for incision and drainage, where she underwent a difficult intubation due to superior-posterior tongue displacement and global supraglottic edema. She was discharged on postoperative day 5 on a course of Augmentin after cultures grew methicillin-sensitive Staphylococcus aureus . The patient had no further complications, with successful excision using a Sistrunk procedure 6 months later. Conclusions: Pediatric thyroglossal duct cysts most often present as an asymptomatic midline neck mass, with rare sequel-ae of infection and upper airway obstruction. This case report highlights the pathophysiology and presenting symptomology of thyroglossal duct cysts, explores the rarity of infected thyroglossal duct cysts in neonates, and reviews the current literature on management strategies for these patients.

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