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[Acute suppurative thyroiditis]

J Handberg1, B C Kirkegaard

  • 1Medicinsk afdeling F., Hillerød Sygehus.

Ugeskrift for Laeger
|December 13, 1993
PubMed
Summary
This summary is machine-generated.

A 54-year-old woman with acute suppurative thyroiditis, complicated by a bladder infection, experienced a full recovery after antibiotic treatment, surgical drainage, and thyroid lobectomy. Escherichia coli was identified as the causative agent in urine, blood, and abscess pus.

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Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • A 54-year-old female patient with a history of non-toxic diffuse goiter and a left lobe cyst presented with acute suppurative thyroiditis.
  • The patient had a three-year history of levothyroxine treatment and recently completed a course of sulphamethizole for a bladder infection.

Observation:

  • The patient exhibited symptoms suggestive of acute suppurative thyroiditis superimposed on a pre-existing goiter.
  • Escherichia coli was isolated from urine, blood, and abscess aspirate, indicating a systemic infection.

Findings:

  • A combination of antibiotic therapy, surgical drainage of the abscess, and left thyroid lobectomy led to complete resolution of the thyroiditis.
  • Post-operative recovery included the regression of paraesthesia in the left arm.

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Implications:

  • This case highlights the importance of considering bacterial infections, particularly E. coli, in the etiology of acute suppurative thyroiditis, especially in patients with predisposing thyroid conditions.
  • Effective management involves prompt antibiotic administration, source control through surgical drainage, and, if necessary, surgical resection of the affected thyroid lobe.
  • Successful treatment resulted in complete patient recovery and symptom resolution, including neurological deficits.