Thyroid abscess, an uncommon diagnosis: A case report and mini‑review of the literature

Patricia Urbón-Sánchez, F. Mendoza-Moreno, Sofía Sánchez De Toca‑Gómez, Félix Mañes-Jiménez, Rubén Jiménez-Martín, Marta Bru-Aparicio, P. Laguna-Hernández, Yousef Allaoua-Moussaoui, Sonia Soto-Schutte, Ana Quiroga-Valcárcel, M. Díez-Alonso, I. Lasa Unzué, A. Gutiérrez-Calvo
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Abstract

Thyroid abscess is a rare entity, commonly experienced by immunocompromised patients, or those who have anatomical abnormalities or a pre-existing thyroid disease. An early diagnosis continued by treatment with antibiotics and drainage of the abscess is the recommended therapeutic strategy for such cases. The present study describes a clinical case of this rare event, and also provides a brief literature review. The present study describes the case of a 48-year-old healthy male with no medical antecedents, apart from acute prostatitis treated with antibiotics for 6 days prior, who visited the Emergency Department of the authors' hospital with neck pain and progressive swelling of the mass. Diagnostic imaging confirmed the authors' suspicion of an abscess and revealed the lesion displacing the airway to the contralateral side. This restricted the mobility of the neck of the patient. As an emergency measure, the patient was then taken to the operating room for a neck examination. A hemithyroidectomy was finally performed. Following a prolonged hospital duration, he was discharged from the hospital and his recovery was uneventful without any voice alterations, hypocalcemia or recurrence.
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甲状腺脓肿,一种不常见的诊断:病例报告和文献综述
甲状腺脓肿是一种罕见的疾病,常见于免疫力低下的患者、解剖结构异常或原有甲状腺疾病的患者。对于此类病例,建议采用早期诊断、抗生素治疗和脓肿引流的治疗策略。本研究描述了这一罕见病例的临床表现,并对文献进行了简要回顾。本研究描述的病例是一名 48 岁的健康男性,除了急性前列腺炎之前 6 天接受过抗生素治疗外,没有其他病史。影像诊断证实了作者对脓肿的怀疑,并发现病变将气管移至对侧。这限制了患者颈部的活动。作为一项紧急措施,患者被送往手术室进行颈部检查。最后进行了半肝切除术。经过长时间的住院治疗后,患者康复出院,恢复顺利,没有出现任何语音改变、低钙血症或复发。
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