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Thyrotoxicosis As a Rare Presentation in Acute Suppurative Thyroiditis: A Case Report Publisher Pubmed



Seyedjavadeyn Z1 ; Miratashi Yazdi SA1 ; Samimiat A1 ; Vahedi M2
Authors
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Authors Affiliations
  1. 1. Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of General Thoracic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Medical Case Reports Published:2023


Abstract

Background: Acute suppurative thyroiditis is a rare and potentially life-threatening disease. A few cases of acute suppurative thyroiditis associated with thyrotoxicosis have been reported in adults. We report a case of acute suppurative thyroiditis that was associated with thyrotoxicosis. Case presentation: We report the case of a 49-year-old Iranian female presented with a painful neck swelling for a week. Computed tomography showed a well-defined gas-filled collection in the left thyroid lobe with an enhancing margin. The patient underwent two-phase surgery, first left thyroid abscess drainage and then total thyroidectomy. The result of histopathology examination was multinodular goiter with abscess formation without malignancy. Conclusion: Abscess formation and thyrotoxicosis is a very rare condition that occurs at the same time in acute suppurative thyroiditis. Despite antibiotic therapy being the first line of treatment, surgery is also required when antibiotic therapy fails. © 2023, BioMed Central Ltd., part of Springer Nature.