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Acute suppurative thyroiditis caused by Salmonella enteritidis

T Susković1, Z Vucicević

  • 1Dept. of Internal Medicine, Sestre milosrdnice University Hospital, Zagreb, Croatia.

Infection
|May 1, 1995
PubMed
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.

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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.

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