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

Siti Sanaa binti Wan Azman; Masni binti Mohamad

doi:10.15605/jafes.036.02.05

Authors

Siti Sanaa binti Wan Azman Division of Endocrinology, Department of Medicine, Hospital Putrajaya, Malaysia http://orcid.org/0000-0002-3243-3068
Masni binti Mohamad Division of Endocrinology, Department of Medicine, Hospital Putrajaya, Malaysia https://orcid.org/0000-0001-9264-0096

DOI:

https://doi.org/10.15605/jafes.036.02.05

Keywords:

acute suppurative thyroiditis, thyroid abscess, thyroid tuberculosis, contrast induced thyroiditis

Abstract

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.

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