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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration

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Published on: November 10, 2014

Acute thyroiditis due to septic emboli derived from infective endocarditis.

C A Cabizuca¹, D A Bulzico, M H de Almeida

¹Department of Endocrinology of Clementino Fraga Filho University Hospital, Rio de Janeiro Federal University- Rio de Janeiro, Brazil. carolcabizuca@yahoo.com.br

Postgraduate Medical Journal

|October 4, 2008

Summary

Acute infectious thyroiditis, a rare thyroid gland condition, can stem from congenital issues or, as in this case, septic emboli from infective endocarditis. This highlights a novel pathway for thyroid infection in adults.

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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration

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Area of Science:

Endocrinology
Infectious Diseases
Cardiology

Background:

Acute infectious thyroiditis is uncommon, typically seen in pediatric patients with congenital thyroid-oropharyngeal connections like piriform fistulas or thyroglossal ducts.
Infective endocarditis is a serious cardiac condition involving infection of the heart valves or endocardium.

Observation:

A case of acute thyroiditis was observed in an adult patient.
The thyroiditis was found to be caused by septic emboli originating from infective endocarditis.

Findings:

This case demonstrates a rare etiology of acute infectious thyroiditis in adults, distinct from the usual pediatric congenital causes.
Septic emboli from infective endocarditis can disseminate to and infect the thyroid gland.

Implications:

This finding expands the differential diagnosis for acute thyroiditis in adult populations.
Highlights the importance of considering systemic infections, such as infective endocarditis, as a source of thyroidal infection.
Suggests the need for thorough cardiac evaluation in adult patients presenting with unexplained acute thyroiditis.