Abstract
Acute suppurative thyroiditis is a rare cause of thyroid disease; however it is capable of causing widespread systemic illness, with catastrophic complications. A large number of causative pathogens have been identified, the most common being Staphylococcus and Streptococcal species. We report a rare case of acute suppurative thyroiditis, caused by Campylobacter jejuni in a patient with systemic lupus erythematosus-related end-stage renal failure and excessive CMV viraemia. She developed severe respiratory compromise and required emergency total thyroidectomy and central neck clearance, which cured the local septic focus. The patient died from refractory sepsis due to E. coli.
Highlights
Acute infectious thyroiditis is a rare condition, causing less than 0.1% of all thyroid disease [1]
We review the literature around acute infectious thyroiditis, and report a case of Campylobacter jejuni severe acute bacterial suppurative thyroiditis in a female patient with systemic lupus erythematosus (SLE)
A 53 year-old African lady with end-stage renal failure secondary to SLE-related glomerulonephritis was admitted to the renal ward from the dialysis unit generally unwell, with pyrexia, general malaise and leg swelling; empirical antibiotic treatment was started for presumed cellulitis
Summary
Campylobacter jejuni as a Cause of Acute Infectious Thyroiditis, on a Background of SLE-related End Stage Renal Failure and CMV Viraemia: A Case Report and Review of the Literature. Received date: 10 Feb 2014; Accepted date: 21 May 2014; Published date: 24 May 2014
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