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Nishihara E, Miyauchi A, Matsuzuka F, Sasaki I, Ohye H, Kubota S, Fukata S, Amino N, Kuma K. Acute suppurative thyroiditis after fine-needle aspiration causing thyrotoxicosis. Thyroid. 2005 Oct; 15(10): 1183-7.

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Article

An Unusual Case of Neck Swelling

1Internal Medicine Residency Program, Department of Medicine, Houston Methodist Hospital, Houston, USA

2Professor of Clinical Medicine, Weill Cornell Medicine

3Vice Chair of Education and Residency Program Director;Department of Medicine, Houston Methodist Hospital, Houston, USA


American Journal of Infectious Diseases and Microbiology. 2017, Vol. 5 No. 3, 106-108
DOI: 10.12691/ajidm-5-3-2
Copyright © 2017 Science and Education Publishing

Cite this paper:
Vinay Acharya, Jose A Perez Jr. An Unusual Case of Neck Swelling. American Journal of Infectious Diseases and Microbiology. 2017; 5(3):106-108. doi: 10.12691/ajidm-5-3-2.

Correspondence to: Jose  A Perez Jr, Professor of Clinical Medicine, Weill Cornell Medicine. Email: vacharya@houstonmethodist.org

Abstract

Acute Suppurative Thyroiditis (AST), an infection of the thyroid caused by bacteria, fungi, or parasites, is a unique cause of thyroid disease. While the causative agents are usually gram-positive skin flora, cases due to atypical bacteria or fungi have been seen in susceptible patient populations. In adults, AST is usually attributed to trauma, fine needle aspiration of the thyroid, or an immunocompromised state usually due to organ transplant, HIV infection, or uncontrolled diabetes. If untreated, the morbidity and mortality of AST is high. We describe a case of AST in a patient whose only risk factor was uncontrolled type 2 diabetes mellitus where the presumed causative agent was extended-spectrum beta-lactamase producing E. coli, an exceedingly rare cause of AST. We discuss the commonly reported etiologies, risk factors, and hormonal dysfunction of this rare condition.

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