Clinical Images  |   November 2020
Acute Suppurative Thyroiditis
Author Notes
  • From the Department of Internal Medicine at John H. Stroger, Jr. Hospital of Cook County in Chicago, Illinois. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Parth Desai, DO, John H. Stroger, Jr. Hospital of Cook County, 1969 Ogden Ave, Chicago, IL 60612-3765. Email: parth.desai@cookcountyhhs.org
     
Article Information
Clinical Images   |   November 2020
Acute Suppurative Thyroiditis
The Journal of the American Osteopathic Association, November 2020, Vol. 120, 809-810. doi:https://doi.org/10.7556/jaoa.2020.132
The Journal of the American Osteopathic Association, November 2020, Vol. 120, 809-810. doi:https://doi.org/10.7556/jaoa.2020.132
A 25-year-old woman presented to the emergency department with a 2-week history of progressively increasing neck swelling associated with pain, dysphagia, and orthopnea. On examination, hervitals were normal. A fluctuant, tender 3.4 cm mass was palpated in the right thyroid gland. Contrast-enhanced computed tomography of the neck showed marked enlargement of the thyroid lobe and the lateral aspect of the thyroid isthmus with diffusely decreased attenuation, multiple enhancing septations, and inflammatory changes in the surrounding soft tissues (image A, red arrow). The trachea was mildly displaced to the left (image B, blue arrow). The patient was treated with IV ampicillin-sulbactam and incision and drainage due to multiple septations, making adequate drainage with fine-needle aspiration difficult. Fluid cultures grew Streptococcus anginosus. The patient was stable upon posthospital follow-up with no further neck swelling. 

Subscribe to view more

For full access to this article, log in to an existing user account, purchase an annual subscription, or purchase a short-term subscription.

Order a subscription

Subscribe

Pay Per View

Entire Journal
30-Day Access

$50.00

Buy Now

This Issue
7-Day Access

$25.00

Buy Now

This article
24-Hour Access

$10.00

Buy Now

Sign In Or Create an account

Please sign in using your Osteopathic.org login.
If you do not have an AOA login, you may create a new account.

Or Subscribe