Thyroid Abscess: A Case Series and Literature Review
Randy W. Lesh, Ryan N. Hellums, Priscilla F. A. Pichardo, Jeff Wong, Phillip Pellitteri, Nicholas Purdy, Kevin P. Stavrides, Thorsen W. Haugen
Abstract
ObjectiveIn this retrospective case series, we chronicle six patients presenting with acute suppurative thyroiditis (AST) with progression to thyroid abscess in a single institution.MethodsPatients ranged in age from 16 to 74 years of age. The most common presenting symptoms were progressive unilateral neck pain, swelling, and odynophagia. Other symptoms included hoarseness and systemic signs of infection. Diagnosis of thyroid abscess was made with a CT scan of the neck, fine needle aspiration, and/or incision and drainage (I&D).ResultsManagement included antibiotic therapy, I&D, and thyroidectomy. All patients were successfully treated except for one who developed mediastinitis and died.ConclusionA complete literature review was performed to determine etiologies, common findings, and management of similar cases.