DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20180396

Thyroid abscess in a 5 year old child caused by Enterococcus species: a rare case report

Pradeep Rajbhandari, Bikash Lal Shrestha, Ashish Dhakal

Abstract


Thyroid abscess is a rare clinical entity which is attributable to its unique anatomical and physical characteristics which makes it resistant to infection. Thyroid gland is resistant to infection because of its rich blood supply and lymphatic drainage, an iodine rich environment and separation of the gland from other structures of neck by facial planes. In our case report, 5 years old male patient presented with a painful anterior midline neck swelling which was diagnosed as thyroid abscess caused by Enterococcus species. The patient was successfully treated with surgical drainage and appropriate antibiotics. 


Keywords


Enterococcus species, Infection, Thyroid abscess, Thyroid gland

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References


Imai C, Kakihara T, Watanabe A, IkarashiY, Hotta H, Tanaka A, et al. Acute suppurative thyroiditis as a rare complication of aggressive chemotherapy in children with acute myelogenous leukaemia. Pediatr Hematol Oncol. 2002;19:247-53.

Tien KJ, Chen TC, Hsieh MC, Hsu SC, Hsiao JY, Shin SJ, et al. Acute Suppurative Thyroiditis with Deep Neck Infection: A Case Report. Thyroid. 2007;17(5):467-9.

Menegaux F, Biro G, Sehatz C, Chigot JP. Thyroid abscess. Apropos of 5 cases. Ann Med Interne Paris. 1991;142(2):99-102.

Mali VP, Prabhakaran K. Recurrent acute thyroid swellings because of pyriform sinus fistula. J Pediatr Surg. 2008;43(4):27-30.

Farwell AP, Braverman LE. Inflammatory thyroid disorders. Otolaryngol Clin North Am. 1996;29(4):541-56.

Sai Prasad TR, Chong CL, Mani A, Chui CH, Tan CE, Tee WS, et al. Acute suppurative thyroiditis in children secondary to pyriform sinus fistula. Pediatr Surg Int. 2007;23(8):779-83.

Yamada H, Fujita, Tokuriki T, Ishida R. Nine cases of piriform sinus fistula with acute suppurative thyroiditis. Elsevier 2002;29(4):361-5.

Lazarus J, Henessey J. Acute and subacute and Reidel’s thyroiditis. In: Ed. Leslie J. DE Groot. The thyroid and it’s diseases. 6th ed. Newyork, Elsevier; 1996: 112-114.

Lucaya J. Berdon WE, Enriquez G, Ragaz J, Carremo JC. Congenital pyriform sinus fistula: a cause of acute left sided suppurative thyroiditis and abscess in children. Pediatr Radiol. 1990;21:27-9.

De Sousa RF, Amonkar D, Mervyn C, Thyroid Abscess with Cutaneous Fistula: Case Report and Review of the Literature. Thyroid Sci. 2008;3(11):CR1-4.

Rohondia OS, Koti RS, Majumdar PP, Vajaykumar T, Bapat RD. Thyroid abscess. J Postgrad Med. 1995;41(2):52-4.

Golshan MM, McHenry CR, deVente J, Kalajyian RC, Hsu RM, Tomashefski JF. Acute suppurative thyroiditis and necrosis of the thyroid gland: A rare endocrine manifestation of acquired immune-deficiency syndrome. Surgery. 1997;121:593-6.

Schweitzer VG, Olson NR. Thyroid abscess. Otolaryngol Head Neck Surg. 1981;89(2):226-9.

Nishihara E, Miyauchi A, Matsuzuka F, Sasaki I, Ohye H, Kubota S, et al. Acute suppurative thyroiditis after fine-needle aspiration causing thyrotoxicosis. Thyroid. 2005;15:1183-87.

Jacobs A, Gros DA, Gradon JD. Thyroid abscess due to Acinetobacter calcoaceticus: Case report and review of the causes and current management strategies for thyroid abscesses. South Med J. 2003;96:300-7.

Pearce E, Farewell P, Braverman LE. Thyroiditis. The NEJM. 2003;348:2646-55.

Herndon MD, Christie DB, Ayoub MM, Duggan AD. Thyroid abscess: Case report and review of the literature. Am Surg. 2007;73(7):725-8.

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

McLaughlin SA, Smith SL, Meek SE. Acute suppurative thyroiditis caused by Pasteurella multocida and associated with thyrotoxicosis. Thyroid 2006;16(3):307-10.

Chang KP, ChenYL, Hao SP, Chen SM. Ultrasound-guided closed drainage for abscesses of the head and neck. Otolaryngol Head Neck Surg. 2005;132:119-24.

Paes JE, Burman KD, Cohen J, Franklyn J, McHenry CR, McHenry SH, et al. Acute bacterial suppurative thyroiditis: a clinical review and expert opinion. Thyroid. 2010;20(3):247-55.

Sun JH, Chang HY, Chen KW, Lin KD, Lin JD, Hsueh C. Anaerobic thyroid abscess from a thyroid cyst after fine-needle aspiration. Head Neck. 2002;24(1):84-6.

Duraker N, Ağaç E, Ozpaçaci T. Thyroid abscess caused by Salmonella typhi leading to vocal cord paralysis. Eur J Surg. 2000;166(12):971-3.

Parmar H, Hashmi M, Rajput A, PatankarT, Castillo M. Acute tuberculous abscess of the thyroidgland. Australas Radiol. 2002;46(2):186-8.

Kara E, Sakarya A, Keleş C, Borand H, Pekindil G, Göktan C. Case of Lemierre's syndrome presenting with thyroid abscess. Eur J Clin Microbiol Infect Dis. 2004;23(7):570-2.

Schleifer KH, Kippler-Balz R. Transfer of Streptococcus faecalis and Streptococcus faecium to the genus Enterococcus nom. rev. as Enterococcus faecaliscomb. nov. and Enterococcus faeciumcomb. nov. Int J Sys Bacteriol. 1984;34:31-4.

Schweitzer VG, Olson NR. Thyroid abscess. Otolaryngol Head Neck Surg. 1981;89:226-9.