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Acute suppurative thyroiditis caused by Salmonella enteritidis
1Dept. of Internal Medicine, Sestre milosrdnice University Hospital, Zagreb, Croatia.
Infection
|May 1, 1995
Summary
This case report details acute suppurative thyroiditis caused by Salmonella enteritidis in a diabetic woman. Treatment involved antibiotics and surgical drainage, leading to recovery with temporary levothyroxine use.
Area of Science:
- Endocrinology
- Infectious Diseases
- Surgical Pathology
Background:
- Acute suppurative thyroiditis is a rare condition.
- Diabetes mellitus is a known risk factor for infections.
Observation:
- A 47-year-old diabetic woman presented with symptoms suggestive of acute suppurative thyroiditis.
- Diagnostic imaging (ultrasound, CT-scan) and cytology confirmed the diagnosis.
- Salmonella enteritidis was identified as the causative pathogen, a rare finding in thyroiditis.
Findings:
- The infection was successfully treated with surgical drainage and antibiotics.
- The patient required temporary levothyroxine due to partial thyroid gland damage.
- The exact source and route of infection were undetermined, though hematogenous spread was suspected.
Implications:
- Highlights Salmonella enteritidis as a potential, albeit rare, cause of acute suppurative thyroiditis.
- Emphasizes the importance of considering unusual pathogens in immunocompromised patients.
- Demonstrates effective management strategies including surgical intervention and antibiotic therapy.