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Acute Suppurative Thyroiditis Presenting As A Painless Thyroid Swelling
Keah Say Hien1, Leong Choong Kheong2
1FRACGP, Family Physician, Elizabeth Medical Centre.
Summary
Acute suppurative thyroiditis, a rare condition, can present atypically with non-tender thyroid enlargement. This case highlights Klebsiella pneumoniae septicemia requiring surgical drainage after antibiotic failure.
Area of Science:
- Endocrinology
- Infectious Diseases
- Surgical Pathology
Background:
- Acute suppurative thyroiditis is an uncommon bacterial infection of the thyroid gland.
- It typically presents with neck pain, fever, and thyroid tenderness.
Observation:
- A 24-year-old male presented with atypical symptoms: a non-tender thyroid enlargement, fever, and leukocytosis.
- Fine-needle aspiration (FNA) cytology was crucial for diagnosis.
Findings:
- The patient was diagnosed with acute suppurative thyroiditis.
- The thyroid abscess was linked to Klebsiella pneumoniae septicemia.
- Initial antibiotic therapy was unsuccessful, necessitating surgical intervention.
Implications:
- This case underscores the importance of considering atypical presentations of acute suppurative thyroiditis.
- Early and accurate diagnosis, including FNA cytology, is vital.
- Surgical drainage may be required for refractory cases or associated septicemia.
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