Journal of Pediatric Surgery Case Reports (Feb 2021)

Acute suppurative thyroiditis with abscess

  • Safaa Touihmi,
  • ilham Rkain,
  • Asmae Mehdaoui,
  • Youssra El boussaadni,
  • Abdallah Oulmaati

Journal volume & issue
Vol. 65
p. 101757

Abstract

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Introduction: The thyroid gland is well known to resist infections. Primary thyroid abscess resulting from acute suppurative thyroiditis (AST) is an unusual type of head and neck infection and it is a rare condition in children so that progression to abscess formation is even more uncommon. Case report: A 7 years old boy with cerebral palsy, presented with a thyroid abscess. He had fever, painful swelling in the neck, with a history of mild fever from 10 days, before that. imaging of the neck and chest revealed a collection of the thyroid extended to the superior and posterior mediastinum. Treatment began with Intravenous antibiotics and continued with incision and drainage. Thus the process led to an uncomplicated recovery. Conclusion: Although thyroid abscess is rare, but must be considered. The most common organism that causes is staphylococcus aureus. With early diagnosis and proper treatment, it can be prevented from complications. Since this disease can be associated with anatomic abnormalities such as pyriform sinus fistula, must be roule out.

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