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Thyrotoxicosis as a rare presentation in acute suppurative thyroiditis: a case report
Zeynab Seyedjavadeyn1, Seyed Amir Miratashi Yazdi1, Alireza Samimiat1
1Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Journal of Medical Case Reports
|October 14, 2023
Summary
Acute suppurative thyroiditis with thyrotoxicosis is rare. This case highlights the need for surgical intervention when antibiotics fail to treat thyroid abscesses and thyrotoxicosis.
Area of Science:
- Endocrinology
- Infectious Diseases
- Surgical Pathology
Background:
- Acute suppurative thyroiditis is a rare, life-threatening condition.
- Thyrotoxicosis accompanying acute suppurative thyroiditis is exceptionally uncommon in adults.
- This report details a unique case of this dual presentation.
Observation:
- A 49-year-old female presented with a week of painful neck swelling.
- CT imaging revealed a gas-filled collection within the left thyroid lobe.
- Histopathology confirmed multinodular goiter with abscess formation, excluding malignancy.
Findings:
- The patient underwent successful surgical management, including abscess drainage and total thyroidectomy.
- The co-occurrence of thyroid abscess and thyrotoxicosis was confirmed.
- Multinodular goiter was identified as the underlying thyroid pathology.
Implications:
- This case underscores the rarity of concurrent abscess formation and thyrotoxicosis in acute suppurative thyroiditis.
- While antibiotics are primary treatment, surgical intervention is crucial for refractory cases.
- Effective management requires a combined approach, potentially involving surgery, for severe presentations.
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