Figure 2 - uploaded by Omer Bayir
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Neck ultrasound of the patient. (A) Axial ultrasound image of thyroid right lobe and isthmus of the patient. The right lobe appears to be normal (B) Axial ultrasound image of the left lobe of the patient. A heterogeneous lesion composed of septated cystic component, intact thyroid parenchyma is not present in the left lobe. Compartments in cystic echogenicity are observed in the left anterior region of the neck, on skin, subcutaneous tissue, and thyroid lobes
Source publication
Acute suppurative thyroiditis is a very rare and life-threatening endocrine emergency. Thyrotoxicosis is a rare condition accompanying acute suppurative thyroiditis. While the majority of the cases in the literature are caused by different reasons, spontaneous development is very rare. We present a patient with acute suppurative thyroiditis who pre...
Contexts in source publication
Context 1
... and thyroid ultrasound showed a heterogeneous lesion of 33×34×66mm in left thyroid lobe, formed by septated cystic components, and no robust thyroid parenchyma was seen in the left lobe. In the left anterior neck region, there were compartments with cystic echogenicity on the skin, subcutaneous tissue and thyroid region, while the right thyroid gland parenchyma was normal ( Figure 2). The patient was hospitalized. ...
Context 2
... and thyroid ultrasound showed a heterogeneous lesion of 33×34×66mm in left thyroid lobe, formed by septated cystic components, and no robust thyroid parenchyma was seen in the left lobe. In the left anterior neck region, there were compartments with cystic echogenicity on the skin, subcutaneous tissue and thyroid region, while the right thyroid gland parenchyma was normal ( Figure 2). The patient was hospitalized. ...
Citations
Acute suppurative thyroiditis is a rare life-threatening endocrine emergency. The thyroid gland has rich vascularity and lymphatic drainage, has large amounts of iodine in the tissue, generates hydrogen peroxide, and is encapsulated. Owing to these factors, infection of the thyroid gland is rare. The clinical presentation of acute suppurative thyroiditis closely resembles that of subacute thyroiditis, with a differentiation possible only on fine needle aspiration cytology (FNAC). However, differentiating these two conditions is important because the management of these two conditions differs drastically. Management includes intravenous antibiotics, drainage of abscesses, and sometimes surgery may be required. Here, we present a case of thyroid abscess caused by methicillin-resistant Staphylococcus aureus (MRSA), diagnosed using FNAC of the thyroid gland and blood culture.
