Thyroid Abscess: Case Report and Review of the Literature

Herndon, Mark; Christie, D. Benjamin; Ayoub, Macram M.; Duggan, A. Daniel

doi:10.1177/000313480707300719

Cited by 35 publications

(25 citation statements)

References 28 publications

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“…The hemorrhage in to a thyroid cyst leading to secondary infection is a possible cause for the intrathyroid abscess formation. Rarely the post anginal sepsis (Lemierre's Syndrome) could present with thyroid abscess (7) and further it has been reported secondary to biliary sepsis (8).The bacteraemia cause by the MRSA is reported in immunologically compromised patients (9).The thyroid abscess formation commonly reported among the immunocompromised (1). In the present case the patient is immunologically compromised due to the presence of diabetes mellitus and the underling malignancy of which the primary is unknown.…”

Section: Discussionmentioning

confidence: 69%

“…Abscess formation within the thyroid gland is rare (1). The intrathyroid abscess formation with MRSA may be rarer.…”

Section: Discussionmentioning

confidence: 99%

“…The commonest route of infection is probably hematological (3). Other possible causes reported are the direct trauma such as, FNAC, esophageal perforation due to fish bone injury and in children's it is commonly due toanatomical anomalies such as piriform sinus fistula (1,4,5).The acute suppurative thyroiditis now rarely progress to thyroid abscess formation due to widespread use of antibiotics (6). The hemorrhage in to a thyroid cyst leading to secondary infection is a possible cause for the intrathyroid abscess formation.…”

Section: Discussionmentioning

confidence: 99%

“…Abscess formation within the thyroid gland is rare (1). Because of its rarity, it is often not suspected and hence the diagnosis would be delayed.…”

Section: Introductionmentioning

confidence: 99%

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Intrathyroid Abscess Formation with Multiple Necrotizing Cervical Lymphadenitis due to Meticillin Resistant Staphylococcus aureus (MRSA); A Case Report with Literature Review

Senanayake

Pitigalaarachchi

2013

Anuradhapura Med. J.

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Introduction Intrathyorid abscess formation due to MRSA is rare. It needs high index of suspicion to diagnose early. Early diagnosis and treatment improves the outcome. The Patient A 77 year old Sri Lankan female, presented to the emergency surgical department with a tender swelling in the anterior neck. On examination there was an enlarged thyroid gland with multiple cervical lymphadenopathy. Ultrasound scan revealed an abscess within the right lobe of the thyroid. Ultrasound guided aspiration of the puss and culture ABST done and the MRSA was isolated after 24 hour incubation. Incision and drainage of the abscess was done. Intravenous antibiotics were started according to the culture ABST. Conclusion It needs high index of suspicion to diagnose the thyroid abscess early. Ultrasound guided aspiration, Incision and drainage and early administration of sensitive antibiotic would improve the outcome.

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Section: Discussionmentioning

confidence: 69%

“…Abscess formation within the thyroid gland is rare (1). The intrathyroid abscess formation with MRSA may be rarer.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Abscess formation within the thyroid gland is rare (1). Because of its rarity, it is often not suspected and hence the diagnosis would be delayed.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intrathyroid Abscess Formation with Multiple Necrotizing Cervical Lymphadenitis due to Meticillin Resistant Staphylococcus aureus (MRSA); A Case Report with Literature Review

Senanayake

Pitigalaarachchi

2013

Anuradhapura Med. J.

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“…Only a few cases of thyroid abscess following IVDU have been reported (6,16,17). In a previous report, a patient developed thyroid abscess following bacteremia due to a left forearm abscess from IVDU (7).…”

Section: A B Cmentioning

confidence: 99%

Thyroid Abscess After Injection of Heroin into the Neck Complicated by Thyroid Storm

Mathai

Coppola

Vaz

2020

AACE Clinical Case Reports

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Objective: Our objective is to present a case of thyroid abscess complicated by thyroid storm secondary to intravenous drug use. Cases of thyroid abscess causing thyrotoxicosis are rare. This is the first report of thyroid abscess from intrathyroidal injection of illicit drugs resulting in thyroid storm. Methods: We used biochemical evaluation, computed tomography (CT), and ultrasound to assess the thyroid abscess. Treatment included antithyroid drugs, steroids, antibiotics, and surgical drainage. Results: A 28-year-old female presented with neck pain and fever after injecting heroin into her neck. CT showed bilateral thyroid abscesses measuring 3.0 cm on the left and 2.0 cm on the right. Thyroid-stimulating hormone (TSH) was 0.40 mIU/L (reference range is 0.34 to 5.60 mIU/L). She left against medical advice, then returned with worsening symptoms. CT showed multiloculated, bilateral thyroid abscess measuring 8.6 cm on the left and 5.3 cm on the right. She suffered a cardiac arrest and was resuscitated. Her white blood cell count was 25.9 × 103 cells/mL, TSH <0.01 mIU/L, free thyroxine was 4.25 ng/dL (reference range is 0.89 to 1.76 ng/dL), triiodothyronine was 96 ng/dL (reference range is 70 to 204 ng/dL), and thyroid-stimulating immunoglobulin was <89% (reference range is <140%). She had fever, tachycardia, heart failure, and elevated bilirubin confirming a diagnosis of thyroid storm by Japan Thyroid Association criteria and Burch-Wartofsky score. She was treated with propylthiouracil, hydrocortisone, and antibiotics. Two days later her TSH was <0.005 mIU/L, free thyroxine was 3.06 ng/dL, and triiodothyronine was 62.0 ng/dL. Ultrasound showed enlarged, heterogeneous thyroid with loculated fluid collections. Following surgical abscess drainage, her thyroid function normalized and progressed to hypothyroidism. Conclusion: We conclude that thyroid abscess can be a life-threatening complication of intravenous drug use as it can precipitate thyroid storm. Along with surgical drainage of the abscess, successful management includes antithyroid drugs, antibiotics, and steroids to control thyrotoxicosis, infection, and inflammation.

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Klebsiella Pneumoniae pulmonary infection with thyroid abscess: Report of a case

Cannizzaro¹,

Veroux²,

Ferrera³

et al. 2008

Surg Today

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Thyroid abscess is a rare clinical entity, usually associated with a pyriform sinus fistula. A prompt diagnosis is important because it may progress rapidly into a life-threatening condition. We report a very unusual case of thyroid abscess associated with a lung infection, both caused by Klebsiella pneumoniae. The patient was treated successfully with a culture-appropriate antibiotic and an uneventful thyroid lobectomy. 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.

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Thyroid Abscess: Case Report and Review of the Literature

Cited by 35 publications

References 28 publications

Intrathyroid Abscess Formation with Multiple Necrotizing Cervical Lymphadenitis due to Meticillin Resistant Staphylococcus aureus (MRSA); A Case Report with Literature Review

Intrathyroid Abscess Formation with Multiple Necrotizing Cervical Lymphadenitis due to Meticillin Resistant Staphylococcus aureus (MRSA); A Case Report with Literature Review

Thyroid Abscess After Injection of Heroin into the Neck Complicated by Thyroid Storm

Klebsiella Pneumoniae pulmonary infection with thyroid abscess: Report of a case

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