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[Thyroid abcess. Apropos of 5 cases].

F Menegaux1, G Biro, C Schatz

  • 1Service de Chirurgie Générale et Digestive, Hôpital de la Pitie, Paris.

Annales De Medecine Interne
|January 1, 1991
PubMed
Summary

Thyroid abscess and acute suppurative thyroiditis are rare but challenging diagnoses due to vague symptoms. Prompt surgical intervention and antibiotics, addressing underlying causes like piriform sinus fistula, are crucial for effective treatment and preventing recurrence.

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Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Surgical Pathology

Context:

  • Thyroid abscess and acute suppurative thyroiditis are uncommon, accounting for 0.1–0.7% of surgically treated thyroid conditions.
  • These conditions are more prevalent in children than adults, presenting diagnostic challenges due to subtle clinical manifestations.

Purpose:

  • To present five case reports, including four adult cases, highlighting the diagnostic complexities.
  • To illustrate diverse etiopathological mechanisms and responsible pathogenic agents in thyroid infections.
  • To emphasize the importance of surgical treatment and antibiotic therapy, including addressing underlying causes like piriform sinus fistula.

Summary:

  • The study details five cases of thyroid abscess/acute suppurative thyroiditis, underscoring diagnostic difficulties and varied causes.
  • Treatment strategies involve surgical drainage or thyroidectomy combined with intravenous antibiotics.
  • Complete resection of the piriform sinus fistula, a common source, is vital for preventing relapse.

Impact:

  • Improved understanding of rare thyroid infections aids in earlier and more accurate diagnosis.
  • Highlights the necessity of a comprehensive treatment approach, including addressing anatomical abnormalities.
  • Effective management strategies can significantly reduce morbidity and prevent recurrent infections.

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