Thyroid Abscess Associated With Pyriform Sinus Fistula

Abstract

A 24-year-old previously healthy man presented with a 3-day history of sore throat, dysphagia, and painful neck swelling. On physical examination, his left anterior neck was swollen and tender. Contrast-enhanced computed tomography of the neck revealed a cystic lesion with enhancing walls and tracheal compression (Figure 1). A diagnosis of thyroid abscess was made. The patient received parenteral antibiotic therapy as well as incision and drainage of the abscess. Pus cultures grew Streptococcus viridans and Prevotella buccae.