Thyroid abscess presenting as a discharging sinus: a case report

Abstract

BackgroundIt is unusual to get an isolated thyroid abscess. Thyroid abscess or acute suppurative thyroiditis accounts for 0.7–1% of all instances of thyroid diseases. The thyroid gland typically has a high level of iodine, a well-enveloped capsule, and resistance to infections. The diagnosis and treatment of this unusual entity are covered in this paper.Case presentation.An adult male patient presented with anterior neck swelling for 15 days and pus discharge for 2 days. The neck ultrasound revealed characteristics that could indicate a thyroid abscess. The thyroid function test and other laboratory data were within normal bounds. A neck contrast-enhanced computed tomography scan was performed, and it only revealed a single thyroid abscess and no other abnormalities. After starting the patient on intravenous antibiotics, the abscess was incised and drained. The patient’s symptoms got better.ConclusionIn the era of advanced antibiotics incidence of thyroid abscess is extremely rare. Early diagnosis and intervention may improve the outcome of this condition. Knowledge of disease and its potential complications can prevent morbidity.