A Rare Case of Neck Swelling: Acute Suppurative Thyroiditis With End-Stage Renal Disease

Acute suppurative thyroiditis is a rare life-threatening endocrine emergency. The thyroid gland has rich vascularity and lymphatic drainage, has large amounts of iodine in the tissue, generates hydrogen peroxide, and is encapsulated. Owing to these factors, infection of the thyroid gland is rare. Th...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-10, Vol.14 (10)
Main Authors: Kaeley, Nidhi, Bairwa, Archana, Kaushik, Bhoomika, M S, Salva A, Jose, Jewel Rani
Format: Article
Language:English
Subjects:
Abscesses
Acidosis
Antibiotics
Biopsy
Blood
Case reports
Cellular biology
Edema
Emergency Medicine
Endocrinology/Diabetes/Metabolism
Fistula
Hemodialysis
Internal Medicine
Iodine
Kidney diseases
Laboratories
Lungs
Lymphocytes
Metabolism
Neutrophils
Patients
Phosphatase
Point of care testing
Staphylococcus infections
Thyroid gland
Tomography
Tuberculosis
Ultrasonic imaging
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Summary:Acute suppurative thyroiditis is a rare life-threatening endocrine emergency. The thyroid gland has rich vascularity and lymphatic drainage, has large amounts of iodine in the tissue, generates hydrogen peroxide, and is encapsulated. Owing to these factors, infection of the thyroid gland is rare. The clinical presentation of acute suppurative thyroiditis closely resembles that of subacute thyroiditis, with a differentiation possible only on fine needle aspiration cytology (FNAC). However, differentiating these two conditions is important because the management of these two conditions differs drastically. Management includes intravenous antibiotics, drainage of abscesses, and sometimes surgery may be required. Here, we present a case of thyroid abscess caused by methicillin-resistant Staphylococcus aureus (MRSA), diagnosed using FNAC of the thyroid gland and blood culture.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.30044