Acute Suppurative Thyroiditis Secondary to Tuberculosis with Superimposed Bacterial Infection A Case Report

Main Article Content

Siti Sanaa binti Wan Azman
Masni binti Mohamad


Acute suppurative thyroiditis is a rare and potentially fatal condition. We present a case of an 18-year-old Malay female who presented with one-week history of painful right sided neck swelling, fever and odynophagia. Neck CT confirms ruptured multiloculated abscess with posterosuperior extension into prevertebral space. Pus and tissue cultured Streptococcus anginosus and Eikenella corrodens with positive TB PCR. She responded well to ampicillin/ sulbactam and anti-tuberculosis treatment with no evidence of residual collection from ultrasound.


Download data is not yet available.

Article Details

How to Cite
Wan Azman, S. S. binti, & Mohamad, M. binti. (2022). Acute Suppurative Thyroiditis Secondary to Tuberculosis with Superimposed Bacterial Infection: A Case Report. Journal of the ASEAN Federation of Endocrine Societies, 36(2), 209–212.
Case Reports


Paes JE, Burman KD, Cohen J, et al. Acute bacterial suppurative thyroiditis: A clinical review and expert opinion. Thyroid. 2010;20(3):247–55.

Al-Dajani N, Wootton SH. Cervical lymphadenitis, suppurative parotitis, thyroiditis, and infected cysts. Infect Dis Clin N Am. 2007;21(2):523–41, viii.

Yu EH, Ko WC, Chuang YC, Wu TJ. Suppurative Acinetobacter baumanii thyroiditis with bacteremic pneumonia: Case report and review. Clin Infect Dis. 1998;27(5):1286–90.

Berger SA, Zonszein J, Villamena P, Mittman N. Infectious diseases of thyroid gland. Rev Infect Dis. 1983;5(1):108–18.

Farwell AP. Infectious thyroiditis. In: Braverman LE, Utiger RD, eds. Werner & Ingbar’s The Thyroid: A fundamental and clinical text, 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.

Mondal A, Patra DK. Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland: A study of 18 cases. J Laryngol Otol 1995;109(1):36–8.

Raman L, Murray J, Banka R. Primary tuberculosis of the thyroid gland: An unexpected cause of thyrotoxicosis. BMJ Case Rep. 2014;2014:bcr2013202792.

Falhammar H, Wallin G. Calissendorff J. Acute suppurative thyroiditis with thyroid abscess in adults: clinical presentation, treatment and outcomes. BMC Endocr Disord. 2019;19(1):130.

Kim BS, Nam KW, Kim JE, et al. A case of acute suppurative thyroiditis with thyrotoxicosis in an elderly patient. Endocrinol Metab (Seoul). 2013;28(1):50-4.

Masuoka, H., A. Miyauchi, C. Tomoda, et al. Imaging studies in sixty patients with acute suppurative thyroiditis. Thyroid. 2011; 21(10):1075–80.

Shrestha RT, Hennessey JV. Acute and subacute, and Riedel's thyroiditis. in De Groot LJ, Chrousos G, Dungan G, et al., eds. Endotext. Couth Dartmouth (MA), MD Text. Com Inc.; 2000.

Sicilia V, Mezitis S. A case of acute suppurative thyroiditis complicated by thyrotoxicosis. J Endocrinol Invest. 2006;29(11):997–1000.

Ilyin A, Zhelonkina N, Severskaya N, Romanko S. Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration. J Clin Ultrasound. 2007;35(6):333–7.