Abstract 32: Acute suppurative thyroiditis in HIV – Non typhoidal salmonella: Case report and review of the literature

Abstract

Background: Acute suppurative thyroiditis is a rare disease of thyroid gland. Incidence is less than 1% in immunocompromised hosts. Most common pathogens isolated are Gram positive aerobic cocci. Infections with Gram negative facultative aerobes such as Salmonella are rare.Case Presentation: A 39-year-old retropositive female presented with rapid enlargement of swelling in front of neck, fever and weight loss x 2 weeks. Examination revealed symmetric diffuse swelling that moved with degglutition with overlying erythema and tenderness. Relevent investigations done and CT neck revealed thyroid abscess, covid -19 RAT positive status, microcytic hypochromic anemia. A needle aspiration for symptomatic and diagnostic purposes was performed. Cultures grew Nontyphoidal salmonella. She was treated with 4-week course of oral antibiotics.Conclusion: A thyroid abscess is rare, potentially life threatening disease. However, a high index of suspicion is required to make diagnosis and differentiate from subacute thyroiditis a relatively benign condition. Management is directed at minimizing morbidity. The mainstay treatment is medical, but surgery is sometimes necessary to achieve adequate source control, particularly when complications arise.Keywords: Acute suppurative thyroiditis, COVID 19 infection, retrovirus, Salmonella sp., thyroid abscess