Thyroid abscess presenting as a discharging sinus: a case report

Vibha Singh, Annanya Soni, Arijit Jotdar, Amit Kumar Gupta
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Abstract

It is unusual to get an isolated thyroid abscess. Thyroid abscess or acute suppurative thyroiditis accounts for 0.7–1% of all instances of thyroid diseases. The thyroid gland typically has a high level of iodine, a well-enveloped capsule, and resistance to infections. The diagnosis and treatment of this unusual entity are covered in this paper. Case presentation. An adult male patient presented with anterior neck swelling for 15 days and pus discharge for 2 days. The neck ultrasound revealed characteristics that could indicate a thyroid abscess. The thyroid function test and other laboratory data were within normal bounds. A neck contrast-enhanced computed tomography scan was performed, and it only revealed a single thyroid abscess and no other abnormalities. After starting the patient on intravenous antibiotics, the abscess was incised and drained. The patient’s symptoms got better. In the era of advanced antibiotics incidence of thyroid abscess is extremely rare. Early diagnosis and intervention may improve the outcome of this condition. Knowledge of disease and its potential complications can prevent morbidity.
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甲状腺脓肿表现为分泌物窦:病例报告
孤立的甲状腺脓肿并不常见。甲状腺脓肿或急性化脓性甲状腺炎占所有甲状腺疾病的0.7-1%。甲状腺通常含碘量高,囊肿发达,抗感染能力强。本文将介绍这种不常见疾病的诊断和治疗。病例介绍。一名成年男性患者因颈部前部肿胀 15 天和 2 天的脓性分泌物就诊。颈部超声波检查发现了甲状腺脓肿的特征。甲状腺功能检查和其他实验室数据均在正常范围内。患者接受了颈部造影剂增强计算机断层扫描,结果只发现了一个甲状腺脓肿,没有其他异常。在开始静脉注射抗生素后,对脓肿进行了切开和引流。患者的症状有所好转。在使用先进抗生素的时代,甲状腺脓肿的发病率极为罕见。早期诊断和干预可以改善这种疾病的预后。对疾病及其潜在并发症的了解可以预防发病。
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