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Updated: May 13, 2026
10:19
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
Two cases of bacterial suppurative thyroiditis caused by Streptococcus anginosus
Chaoneng Wu1, Yiqi Zhang, Yunguo Gong
1Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Feng Lin Road, Shanghai, 200032, China.
Endocrine Pathology
|February 26, 2013
Summary
Acute suppurative thyroiditis (AST) is rare. Streptococcus anginosus causes AST, leading to neck swelling and thyrotoxicosis. Early fine needle aspiration (FNA) and antibiotics are crucial for recovery.
Area of Science:
- Endocrinology
- Infectious Diseases
- Head and Neck Surgery
Background:
- Acute suppurative thyroiditis (AST) is an uncommon thyroidal infection.
- Streptococcus anginosus is known for causing head and neck empyema.
Observation:
- Two cases of AST caused by S. anginosus are presented.
- Patients experienced neck swelling, odynophagia, and thyrotoxicosis.
- Initial misdiagnosis occurred due to imaging findings.
Findings:
- Fine needle aspiration (FNA) confirmed pus and identified S. anginosus in both cases.
- Antibiotic treatment and abscess aspiration led to recovery.
- Thyroid function normalized after treatment.
Implications:
- S. anginosus represents a significant, previously unrecognized cause of AST.
- Prompt FNA is essential for diagnosing AST and guiding treatment.
- Early intervention ensures favorable patient outcomes.
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