A case of acute suppurative thyroiditis with thyrotoxicosis.
- Author:
Chan Hee YOO
1
;
Ye Na KIM
;
Chang Bae SHON
;
Eun Ho PARK
;
Young Sik CHOI
;
Yo Han PARK
;
Jung Hun KIM
Author Information
1. Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. yschoi@ns.kosinmed.or.kr
- Publication Type:Case Report
- Keywords:
Acute suppurative thryroiditis;
Thyrotoxicosis;
Burkholderia gladioli
- MeSH:
Abscess;
Aged;
Biopsy;
Biopsy, Fine-Needle;
Burkholderia gladioli;
Female;
Humans;
Neck;
Neutrophils;
Rare Diseases;
Thyroid Function Tests;
Thyroid Gland;
Thyroiditis, Subacute;
Thyroiditis, Suppurative;
Thyrotoxicosis
- From:Korean Journal of Medicine
2008;75(2):242-245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute suppurative thryroiditis is a rare disease because the thyroid gland is resistant to infection. Thyroid function tests are usually normal in acute suppurative thryroiditis. We care for a patient with acute suppurative thryroiditis and associated thyrotoxicosis. A 73-year-old diabetic woman presented with pain over the thyroid gland and an elevated serum thyroid hormone level and decreased radioiodine uptake, as occurs in subacute thyroiditis. A neck computed tomography showed an abscess in the right lobe of the thyroid gland. A neutrophilic infiltration was shown in a fine needle aspiration biopsy, and Gram negative Burkholderia gladioli grew from the aspirate culture. Antibiotic treatment ameliorated the symptoms of infection, followed by normalization of thyroid function.
