Abstract
Acute infectious thyroiditis in patients with ectopic lingual thyroid gland is extremely rare, and in most cases, this condition, if symptomatic, manifests as dysphagia and dyspnoea. This case report shows that, in addition to the previously mentioned typical symptoms, our patient also suffered from febrile temperature, progressive fullness in the throat and pain during swallowing. Diagnosis of acute infectious thyroiditis associated with lingual thyroid gland is complex and requires evaluation of results of clinical findings and laboratory tests, and also evaluation by radiological diagnostic methods. Treatment was performed by administering antibacterial and anti-inflammatory therapy, resulting in the disappearance of complaints. Clinical appearance, diagnostic methods and treatment options are discussed in the discussion section.
Highlights
CLINICAL PRESENTATION A 27-year-old female patient was admitted to the emergency room at 4 am complaining of progressive fullness in the throat, pain during swallowing, dysphagia and dyspnoea
A lingual thyroid gland can manifest as dysphagia, dyspnoea or dysphonia.[1]
Acute infectious thyroiditis related to lingual thyroid gland is rare,[4] and in the medical literature, it has been described very sparingly
Summary
CLINICAL PRESENTATION A 27-year-old female patient was admitted to the emergency room at 4 am complaining of progressive fullness in the throat, pain during swallowing, dysphagia and dyspnoea. SPECT-CT using 99mTc pertechnetate showed a homogeneous radioisotope uptake at the root of the tongue (corresponding to the mass seen on the CT scan) and no uptake of the radioisotope at the normal location of the thyroid gland (Figure 2).
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