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Thyroid Abscess: A Case Series and Literature Review
Randy Lesh1, Ryan Hellums2, Priscilla Pichardo2
1Geisinger Commonwealth School of Medicine, Scranton, PA, USA.
Ear, Nose, & Throat Journal
|January 5, 2023
Summary
Acute suppurative thyroiditis (AST) can progress to a thyroid abscess. Prompt diagnosis and management, including antibiotics and drainage, are crucial for successful treatment of this rare condition.
Area of Science:
- Endocrinology
- Infectious Diseases
- Surgical Pathology
Background:
- Acute suppurative thyroiditis (AST) is a rare condition.
- Progression to thyroid abscess presents significant clinical challenges.
Purpose of the Study:
- To describe the clinical course of patients with acute suppurative thyroiditis progressing to thyroid abscess.
- To review the diagnostic and management strategies for thyroid abscess.
Main Methods:
- Retrospective case series of six patients.
- Diagnosis confirmed via CT scan, fine needle aspiration, and/or incision and drainage (I&D).
Main Results:
- Common symptoms include unilateral neck pain, swelling, and odynophagia.
- Management involved antibiotics, I&D, and thyroidectomy; one patient died from mediastinitis.
Conclusions:
- Early recognition and intervention are vital for managing thyroid abscess.
- Comprehensive literature review identified key etiologies and treatment approaches.
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