Thyroid discharge revealing an Epidermoid carcinoma of the mouth of the Esophage

Abstract

Thyroid abscess is a rare condition most often caused by Gram + cocci, which usually occurs on a morphologically abnormal gland. The evolution usually goes towards the cure under antibiotic treatment and the drainage of the abscess or the surgery of the thyroid. Thyroid atypical in the 30 years without pathological history, it is recommended to treat a cervical anterior with a dysphagia and an alteration of the general state of health, associated with an evolving clinical and biological infectious syndrome for 3 months. A nasofibroscopy performed showed paresis of the two CVs opening with salivary stasis at the level of the 2 piriform sinuses. Cervical ultrasound showed a thyroid goitre left geniobular collection with relation to a thyroid abscess. Cervical CT showed a collection of 50 x 25 mm liquid containing air bubbles affecting the left thyroid lobe compared to a thyroid abscess extended to the piri form sinuses with thickening of the hypopharyx and mouth of the thyroid. esophagus with major cervicomedial emphysema. Needle puncture and a fluctuating part of the oral reaction are 15 cm of free weight, the bacteriological envelope of which revealed a staphylococcus aureus.The patient initially received triple antibiotic therapy (amoxicillin-clavulanic acid - metronidazole - gentamycin), then adaptation of the antibiotherapy according to the results of the antibiogram with a clinical and biological improvement (CRP at 12) and a regression of the swelling.