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Management of thyroid gland abscess.
Javier García Callejo1, Jaume Redondo Martínez1, Miguel Civera2
1Servicio de Otorrinolaringología, Hospital Clínico Universitario de Valencia, Valencia, España.
Acta Otorrinolaringologica Espanola
|June 13, 2018
Summary
Thyroid abscess, or acute suppurative thyroiditis, is rare. Treatment varies from conservative to invasive, with a 100% success rate in this 41-year study.
Area of Science:
- Endocrinology
- Infectious Diseases
- Surgical Pathology
Background:
- Thyroid abscess (acute suppurative thyroiditis) is an uncommon clinical diagnosis.
- This study reviews 41 years of clinical experience with this rare condition.
Purpose of the Study:
- To analyze epidemiological characteristics, diagnostic and therapeutic strategies, and clinical outcomes of thyroid abscess cases.
- To evaluate the management and success rates of acute suppurative thyroiditis.
Main Methods:
- Retrospective study of 14 patients (9 males, 5 females) with 22 acute episodes over 41 years.
- Diagnostic procedures included fine needle aspiration (13 cases), ultrasound (9 cases), and computed tomography (7 cases).
- Therapeutic interventions comprised surgery (drainage, thyroidectomy, hemithyroidectomy), antibiotics, and gland sclerosis.
Main Results:
- Suppurative thyroiditis accounted for 0.29% of neck abscesses.
- Commonly identified pathogens were Mycobacterium tuberculosis and Staphylococcus aureus.
- Treatment success rate was 100%, with 5 patients developing hypothyroidism post-discharge.
Conclusions:
- Thyroid gland suppuration is infrequent in neck pathology.
- Treatment options are diverse, ranging from conservative to invasive, guided by microbial and radiological findings.
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