ECE2014 Poster Presentations Thyroid (non-cancer) (125 abstracts)
A case with suppurative thyroiditis caused by salmonella infection
Fatih Kuzu 1, , Fatma Zor Acar 2 , Sevval Peynir Tikanak 2 , Güldeniz Karadeniz Çakmak 3 , Güven Çelebi 4 , Füsun Cömert 4 & Taner Bayraktaroglu 1,
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey; 2Department of Internal Medicine, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey; 3Department of General Surgery, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey; 4Department of Clinical Microbiology Infectious Diseases, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey.
Introduction: Non-typhoid salmonella as the causative agent of acute bacterial thyroiditis is rarely reported. We report a case with suppurative thyroiditis caused by salmonella infection.
Case report: Fifty-year old woman had fewer and recurrent pain with swelling in the left region of the neck. Physical examination revealed the weight 78 kg, the height 167 cm, blood pressure 100/70 mmHg, pulse 78/min, the body temperature 37.6 degrees. Thyroid gland was stage 3 with lobulated. In sonography evaluation, the left lobe was ~ 5–6 cm in size and lobulated with cystic lesion. The images of the computed tomography was shown the heterogeneous-hypodense images in the left lobe of the thyroid ~ 5×4.5 cm in size. Trachea was deviated slightly to the right. The eritrosit sedimentation rate and the level of C-reactive protein were 52 mm/h and 115 mg/l respectively. Thyroid function tests and autoantibodies were normal. Fine-needle biopsy samples including purulent materials were aspirated. Surgical drainage was performed. In the tissue culture, 100 000 CFU/ml Salmonella spp. were detected. The patient’s symptoms and findings were completely recovered with ciprofloxacin and metronidazole during 4 weeks.
Discussion: Acute suppurative thyroiditis very rarely can cause the thyroid gland cases. Especially our data in patients as well as acute suppurative thyroiditis should be considered, with or without underlying immunosuppressive condition, neck pain and swelling is reached with subacute thyroiditis, bleeding into cysts and cancer. Acute suppurative thyroiditis in charge, salmonella infection should be kept in mind though very rare.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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