Abstract
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertise. The AMJ publishes articles in clinical medicine, public health and health promotion. Our priority is given to manuscripts on health related issues which affects the communities living in rural tropical communities. Established as a journal in 2006 as a publication parallel to ACS annual scientific sessions, the journal was relaunched as a proper journal in 2013. Anuradhapura Medical Journal is a member of COPE and is included on DOAJ.Cover Image: Computed tomography perfusion (CTP) brain image of a left-sided ischaemic stroke.The image shows time to peak (TTP) perfusion map of the brain with prolongation of TTP in hypoperfused regions of the left hemisphere identified as patchy areas highlighted in red.Dr. Hemal Senanayake
Highlights
Intrathyorid abscess formation due to Methicillin Resistant Staphylococcus aureus (MRSA) is rare
Ultrasound guided aspiration of the puss and culture ABST done and the MRSA was isolated after 24 hour incubation
Intravenous antibiotics were started according to the culture ABST
Summary
Abscess formation within the thyroid gland is rare [1]. Because of its rarity, it is often not suspected and the diagnosis would be delayed. Possibility of thyroid abscess formation should be suspected in any patient who presented with tender neck swelling in thyroid area. A seventy seven year old Sri Lankan female patient presented to the emergency surgical department of Teaching Hospital Kandy, Sri Lanka with high fever and neck swelling for 2 days. She did not have difficulty in breathing. The Biopsy of cervical lymph node showed necrosis with secondary deposit from a sqamous cell carcinoma of which the primary was not found She was a known patient with diabetic mellitus and had poor control of blood sugar. High concentration of iodine, very high vascularity, and presence of high lymphatic drainage was postulated [1]
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