Acute suppurative thyroiditis in a primary intrathoracic goiter.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
C R McHenryM Rodgers

Abstract

To describe a case of acute suppurative thyroiditis and focal abscess formation in a patient with a primary intrathoracic goiter. We summarize the initial clinical manifestations, the pathologic findings, and the surgical treatment of a woman with an enlarging mediastinal mass. A 41-year-old woman had a fever and a sudden increase in severity of compressive symptoms after a remote urinary tract infection. Smears from an intraoperative fine-needle aspiration biopsy showed necrotic debris, polymorphonuclear leukocytes, hemosiderin-laden macrophages, and degenerated follicular epithelial cells. Urine and tissue cultures grew Escherichia coli. The patient underwent resection of an 800-g primary intrathoracic goiter with associated degeneration, necrosis, hemorrhage, and abscess formation. To our knowledge, this is the first reported case of acute suppurative thyroiditis and abscess formation occurring within a primary intrathoracic goiter.

References

Jun 1, 1979·The Journal of Pediatrics·K AbeH Sasaki
Jul 1, 1992·Postgraduate Medical Journal·L D PremawardhanaM F Scanlon
Jun 1, 1995·The Surgical Clinics of North America·E Mack
Sep 1, 1993·The Annals of Thoracic Surgery·J M SniderL B Pemberton

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Citations

Feb 11, 2010·Thyroid : Official Journal of the American Thyroid Association·John E PaesRichard T Kloos
Feb 12, 2009·Thyroid : Official Journal of the American Thyroid Association·Christophoros N ForoulisChristos Papakonstantinou
Jan 30, 2007·Journal of Endocrinological Investigation·V Sicilia, S Mezitis

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