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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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Published in: | Curēus (Palo Alto, CA) CA), 2022-10, Vol.14 (10) |
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creator | Kaeley, Nidhi Bairwa, Archana Kaushik, Bhoomika M S, Salva A Jose, Jewel Rani |
description | 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. |
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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. 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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.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.30044</doi><oa>free_for_read</oa></addata></record> |
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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 |
title | A Rare Case of Neck Swelling: Acute Suppurative Thyroiditis With End-Stage Renal Disease |
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