Thyrotoxicosis As a Rare Presentation in Acute Suppurative Thyroiditis: A Case Report Publisher Pubmed



Seyedjavadeyn Z¹ ; Miratashi Yazdi SA¹ ; Samimiat A¹ ; Vahedi M²
Source: Journal of Medical Case Reports Published:2023

Abstract

Background: Acute suppurative thyroiditis is a rare and potentially life-threatening disease. A few cases of acute suppurative thyroiditis associated with thyrotoxicosis have been reported in adults. We report a case of acute suppurative thyroiditis that was associated with thyrotoxicosis. Case presentation: We report the case of a 49-year-old Iranian female presented with a painful neck swelling for a week. Computed tomography showed a well-defined gas-filled collection in the left thyroid lobe with an enhancing margin. The patient underwent two-phase surgery, first left thyroid abscess drainage and then total thyroidectomy. The result of histopathology examination was multinodular goiter with abscess formation without malignancy. Conclusion: Abscess formation and thyrotoxicosis is a very rare condition that occurs at the same time in acute suppurative thyroiditis. Despite antibiotic therapy being the first line of treatment, surgery is also required when antibiotic therapy fails. © 2023, BioMed Central Ltd., part of Springer Nature.