Thyroid Abscess as a Clinical Manifestation of Papillary Thyroid Carcinoma
Even in immunocompromised patients, thyroid abscess is a rare occurrence. One factor that predisposes the thyroid gland to infection is pre-existing diseases such as thyroid nodule or thyroid cancer. A mass usually accompanies thyroid cancer. On the other hand, thyroid cancer is uncommon to present with a thyroid cyst or abscess, even as infection symptoms. In this article, we presented a 50-year-old woman who suffered from a thyroid abscess. She had been diagnosed with an untreated thyroid nodule a year prior and presenting with an enlarged, painful, and warm neck mass accompanied with fever, and dysphagia for 7 days. Treatment began with intravenous antibiotic and percutaneous drainage with intracavitary antibiotic injection. The culture contained no organism. Isthmolobectomy was performed due to expanding abscess to the surrounding tissue, and the histopathology examination confirmed thyroid abscess with a follicular variant of papillary thyroid carcinoma.
edla N, Pirela D, Manzano A, et al. Thyroid abscess: Challenges in diagnosis and management. J Invest Med High Impact Case Rep. 2018;6:1–3.
Hoffmann CJ, Brown TT. Thyroid function abnormalities in HIV-infected patients. Clin Infect Dis. 2007;45(4):488–94.
Akdemir Z, Karaman E, Akdeniz H, et al. Giant thyroid abscess related to postpartum brucella infection. Case Rep Infect Dis. 2015;2015:1–3.
Ghaemi N, Sayedi J, Bagheri S. Acute suppurative thyroiditis with thyroid abscess: A case report and review of the literature. Iran J Otorhinolaryngol. 2014;26(74):51–5.
Ilyin A, Zhelonkina N, Severskaya N, Romanko S. Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration. J Clin Ultrasound. 2007;35(1):333–7.
Nguyen QT, Lee EJ, Huang MG, et al. Diagnosis and treatment of patients with thyroid cancer. Res Article Am Health Drugs Ben. 2015;8(1):30-40.
Brown J, Nguyen HH, Cohen SH. A pain in the neck: Thyroid abscess. Am J Med [Internet]. 2014;127(3):e5.
Stavreas NP, Amanatidou CD, Hatzimanolis EG, et al. Thyroid abscess due to a mixed anaerobic infection with Fusobacterium mortiferum. J Clin Microbiol. 2005;43(12):6202–4.
Cawich SO, Hassranah D, Naraynsingh V. Idiopathic thyroid abscess. Int J Surg Case Rep [Internet]. 2014;5(8):484–6. Available from: http://dx.doi.org/10.1016/j.ijscr.2014.05.019
Lu Y, Zhang J, Liang X, Hu M, Zheng R, Li L. Efficacy of fine-needle aspiration cytology for a thyroid abscess in children: Two case reports. Exp Ther Med. 2015;9(3):860–2.
Kale SU, Kumar A, David VC. Thyroid abscess - An acute emergency. Eur Arch Oto-Rhino-Laryngology. 2004;261(8):456–8.
Raza T, Nm K. Gi microbiome in thyroid abscess. 2017;2(1):2017.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.