A Rare Case of Paediatric Thyroid Abscess: A Case Report

Harshita Gupta¹*, Sumit Sharma², Ahmed Aseem Naseem³, Bhanu Pratap Singh⁴, Shalini Singh¹, Tanya Gupta¹ and Suvarna Sharma⁵

¹Postgraduate Junior Resident Second Year, Department of ENT, Mayo Institute of Medical Sciences, Gadia Barabanki, India
²Professor and Head, Department of ENT, Mayo Institute of Medical Sciences, Gadia Barabanki, India
³Assistant Professor, Department of ENT, Mayo Institute of Medical Sciences, Gadia Barabanki, India
⁴Professor, Department of ENT, Mayo Institute of Medical Sciences, Gadia Barabanki, India
⁵Intern, KMC Manipal, India

*Corresponding Author: Harshita Gupta, Postgraduate Junior Resident Second Year, Department of ENT, Mayo Institute of Medical Sciences, Gadia Barabanki, India.

Received: March 01, 2023; Published: June 26, 2023

Abstract

Introduction: Thyroid abscess is acute, highly infectious and a rare condition. Any infection around the region becomes an emergency condition because of its fast manifestation and spread, which needs to be treated in priority. Mortality from suppurative thyroiditis reached 22% before the advent of antibiotics.

Case Report: We present the case of 5yr of female child who presented to Department of ENT in October 2022 with the complaints of high fever since 2 days which was sudden in onset along with pain throat and swelling neck since last three days. The swelling was gradually progressive in nature. Airway was not compromised and the patient was maintaining saturation. USG neck and X-Ray neck Lateral view was done. USG revealed a thyroid abscess having about 20 ml of pus in the gland predominantly on the left side. Patient was operated under general anesthesia and after initial aspiration of the abscess incision was given and abscess was drained. The Culture report after 72 hours of incubation was sterile (which may be due to the antibiotics given preoperatively) and the CBNAT report was also negative – suggesting the etiology of abscess to be infective.

Conclusion: Thyroid abscess is acute, highly infectious and a rare condition. Most of these patients present with fever and neck pain. All these patients must be thoroughly evaluated and must be kept on antibiotic therapy and when it fails, surgery as incision with drainage can be necessary to avoid complications.

 Keywords: Thyroid Abscess; Neck Abscess; Paediatric Thyroid Abscess

References

1. Robertson WS. “Acute inflammation of the thyroid gland”. Lancet 177 (1911): 930.
2. Berger SA., et al. “Infectious diseases of the thyroid gland”. Reviews of Infectious Diseases 5 (1983): 108.
3. Yu EH., et al. “Suppurative Acinetobacter baumanii thyroiditis with bacteremic pneumonia: case report and review”. Clinical Infectious Diseases 27 (1998): 1286.
4. Jacobs A., et al. “Thyroid abscess due to Acinetobactercalcoaceticus: case report and review of the causes of and current management strategies for thyroid abscesses”. Southern Medical Journal 96 (2003): 300.
5. Brook I. “Microbiology and management of acute suppurative thyroiditis in children”. International Journal of Pediatric Otorhinolaryngology 67 (2003): 447.
6. Ilyin A., et al. “Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration”. Journal of Clinical Ultrasound6 (2003): 333-337.
7. Paes JE., et al. “Acute bacterial suppurative thyroiditis: a clinical review and expert opinion”. Thyroid 20 (2010): 247-255.
8. Rohondia OS., et al. “Thyroid abscess”. Journal of Postgraduate Medicine 41 (1995): 52-54.
9. Lazarus J and Henessey J. “Acute and sub acute and Reidel’s thyroiditis”. Ed. Leslie J. DE Groot. The thyroid and it’s diseases. 6^th New York. Elsevier (1996).
10. Ghaemi N., et al. “Acute Suppurative Thyroiditis with Thyroid Abscess: A Case Report and Review of the Literature”. Iranian Journal of Otorhinolaryngology 26 (2014): 51-55.
11. Lough R., et al. “Acute Suppurative Thyroiditis in Children”. Otolaryngology–Head and Neck Surgery 114 (1911): 462-465.
12. Sai Prasad TR., et al. “Acute suppurative thyroiditis in children secondary to pyriform sinus fistula”. Pediatric Surgery International 23 (2007): 779-789.
13. Taphey M and Pornkul R. “Acute suppurative thyroiditis due to pyriform sinus fistula: a case report”. Journal of the Medical Association of Thailand 93 (2010): 388-392.
14. Puthiyachirakkal M., et al. “A Rare Case of Thyroid Abscess Associated with Thyrotoxicosis in a Child”. Journal of Pediatric Endocrinology2 (2017): 1021.
15. Henrik Falhammar., et al. “Acute suppurative thyroiditis with thyroid abscess in adults: clinical presentation, treatment and outcomes”. BMC Endocrine Disorders 19 (2019): 130.
16. Ilyin A., et al. “Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration”. Journal of Clinical Ultrasound6 (2007): 333-337.
17. Chrobok V., et al. “Acute purulent thyroiditis with retropharyngeal and retrotracheal abscesses”. Journal of Laryngology and Otology 2 (2000): 151-153.
18. McLaughlin SA., et al. “Acute suppurative thyroiditis caused by Pasteurella multocida and associated with thyrotoxicosis”. Thyroid3 (2006): 307-310.

Citation

Citation: Harshita Gupta., et al. “A Rare Case of Paediatric Thyroid Abscess: A Case Report".Acta Scientific Otolaryngology 5.7 (2023): 36-40.

Copyright

Copyright: © 2023 Harshita Gupta., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.