Abstract
A thyroid abscess caused by acute suppurative thyroiditis is an uncommon disorder affecting the thyroid gland. The eminent feature of the thyroid gland in its resistance to infection happens to be a rich blood supply and adequate lymphatic drainage. Concomitantly, the high iodine content of the thyroid gland is also bactericidal. Acute suppurative thyroiditis, which leads to primary thyroid abscess, is an unusual type of head and neck infection which in a paediatric age is quite rare. We have the opportunity to present such an appreciable case. Ultrasound imaging demonstrated a fluid collection in left lobe of the thyroid gland. No surgical treatment was carried out and the case was treated successfully by oral antibiotic therapy.
Highlights
Thyroid abscess is not a frequently encountered case in ENT or paediatric clinics [1]
Thyroid abscess is an uncommon presentation and it is the rarest form of thyroiditis [4,6]
Surgical exploration is the only method of differentiation among third and fourth branchial fistulas [8]
Summary
Thyroid abscess is not a frequently encountered case in ENT or paediatric clinics [1]. The rarity of infection in the thyroid gland is attributed to its unique features: fibrous encapsulation of the gland, high local iodine and hydrogen peroxide concentrations, a secluded anatomical position, extensive blood supply and efficient lymphatic drainage [3]. As far as the general physical examination was concerned; a girl of normal height and built, febrile with no positive findings in chest and abdomen She was suffering from a mild cough and rhinorrhea with mild erythematous pharyngitis. Initial laboratory investigations showed white blood cells (WBC) count of 11 x 103/mcl with neutrophilia of 60.4%, C-reactive protein (CRP) was 96 mg/l, Erythrocyte sedimentation rate (ESR) 80 mm/hour, Thyroid function tests [T3-6.26 pmol/L(3.69-8.46 pmol/L), T4-18.39 pmol/L (12.30-22.80 pmol/L), Thyroid stimulating hormone (TSH-)2.05 miu/l (0.70-5.97 miu/L)] Ultrasonography of the thyroid gland showed collection measuring 20.5 x 19 mm at the left lobe (Figure 1) © Copyright iMedPub | This article is available from: https://raredisorders.imedpub.com/
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