Thyroid Abscess After Fine Needle Aspiration with Spontaneous Rupture into the Trachea : A Case Report
10.17479/jacs.2023.13.2.70
- Author:
Shouvik DAS
1
;
Abhishek MANDAL
;
Ritesh KUMAR
;
Sandeep CHAUHAN
;
Krishna Rekha MANTRY
;
Sandeep Kumar MALIK
;
Sanjay MARWAH
Author Information
1. Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
- Publication Type:Case Report
- From:
Journal of Acute Care Surgery
2023;13(2):70-73
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fine needle aspiration (FNA) of the thyroid is a well-tolerated minimally invasive procedure. Thyroid abscess, as a complication of FNA in an immune-competent adult, is extremely rare. Diagnosis requires a high index of suspicion, for which treatment is intravenous antibiotics, drainage, and sometimes surgery. Here we present a case of thyroid abscess in an otherwise healthy man who presented with neck pain, rapidly increasing neck swelling, difficulty in swallowing, and hoarseness of the voice that developed two weeks after diagnostic FNA of a thyroid nodule which had been present for ten months. Despite antibiotic treatment, the abscess ruptured into the trachea, requiring surgical intervention. This highlights the importance of maintaining asepsis during FNA of the thyroid. Timely diagnosis of a thyroid abscess is essential to avoid life-threatening airway complications.
