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Suppurative Thyroiditis

Aka: Suppurative Thyroiditis
  1. Definition
    1. Painful Thyroiditis associated with Non-Viral Infection
  2. Epidemiology
    1. Rare form of Painful Thyroiditis
  3. Causes
    1. Bacterial infection
      1. Streptococcus Pneumoniae
      2. Streptococcus Pyogenes
      3. Staphylococcus auerus
    2. Non-bacterial, non-viral infections
      1. Parasitic Infections
      2. Fungal infections
      3. Mycobacterial infections
  4. Risk Factors
    1. Immunocompromised patients
    2. Elderly
    3. Pre-existing Thyroid disease in up to 50%
    4. Congenital defect
      1. Persistent thyroglossal duct
      2. Piriform sinus fistula
  5. Symptoms
    1. Acute unilateral Neck Pain
    2. Dysphagia
  6. Signs
    1. Fever
    2. Erythematous skin overlying Thyroid
    3. Thyroid tender to palpation
  7. Labs
    1. Thyroid Function Tests (TSH, Free T4)
      1. Variable abnormalities or may be euthyroid
    2. Erythrocyte Sedimentation Rate increased
    3. Leukocytosis with band forms
  8. Diagnosis
    1. Thyroid FNA
      1. Send for Gram Stain and culture
  9. Management
    1. Intravenous antibiotics to cover suspected organisms
    2. Surgery consultation if abscess drainage required
  10. References
    1. Bindra (2006) Am Fam Physician 73:1769-76
    2. Fukata (2002) Thyroid 12:175-8

Thyroiditis, Suppurative (C0040150)

Definition (MSH) Acute inflammatory disease of the THYROID GLAND due to infections by BACTERIA; FUNGI; or other microorganisms. Symptoms include tender swelling, FEVER, and often with LEUKOCYTOSIS.
Concepts Disease or Syndrome (T047)
MSH D013969
ICD10 E06.0
SnomedCT 25476006, 3511005
English Infectious Thyroiditides, Infectious Thyroiditis, Suppurative Thyroiditides, Suppurative Thyroiditis, Thyroiditides, Infectious, Thyroiditides, Suppurative, Thyroiditis, Infectious, THYROIDITIS, ACUTE SUPPURATIVE, Infectious thyroiditis, NOS, THYROIDITIS ACUTE PYOGENIC, INFECT THYROIDITIS, THYROIDITIS INFECT, Suppurative thyroiditis, Thyroiditis, Suppurative [Disease/Finding], acute suppurative thyroiditis, Thyroiditis, Suppurative, Acute suppurative thyroiditis, Acute suppurative thyroiditis (disorder), Infectious thyroiditis (disorder), Infectious thyroiditis, suppurative; thyroiditis, thyroiditis; suppurative, Infectious Thyroiditides, Acute, Infectious Thyroiditis, Acute, Suppurative Thyroiditides, Acute, Suppurative Thyroiditis, Acute, Thyroiditides, Acute Infectious, Thyroiditides, Acute Suppurative, Thyroiditis, Acute Infectious, Thyroiditis, Acute Suppurative, Acute Infectious Thyroiditides, Acute Infectious Thyroiditis, Acute Suppurative Thyroiditides, Acute Suppurative Thyroiditis
French Thyroïdite aigüe infectieuse, Thyroïdite aiguë infectieuse, Thyroïdite aigüe d'origine infectieuse, Thyroïdite suppurée, Thyroïdite infectieuse, Thyroïdite aiguë d'origine infectieuse
Swedish Tyreoidit, varbildande
Czech tyreoiditida hnisavá
Finnish Märkivä kilpirauhastulehdus
Russian TIREOIDIT INFEKTSIONNYI, TIREOIDIT GNOINYI, ТИРЕОИДИТ ГНОЙНЫЙ, ТИРЕОИДИТ ИНФЕКЦИОННЫЙ
Italian Tiroidite infettiva, Tiroidite acuta infettiva, Tiroidite suppurativa acuta, Tiroidite suppurativa
Polish Zapalenie tarczycy ropne
Japanese 化膿性甲状腺炎, 甲状腺炎-化膿性, 感染性甲状腺炎, 甲状腺炎-感染性
Dutch etterig; thyroïditis, thyroïditis; etterig, Suppuratieve thyreoiditis, Thyreoiditis, infectieuze, Thyreoiditis, suppuratieve
Spanish tiroiditis infecciosa (trastorno), tiroiditis infecciosa, tiroiditis supurativa aguda (trastorno), tiroiditis supurativa aguda, Tiroiditis Infecciosa, Tiroiditis Supurativa
German Thyreoiditis, eitrige, Thyreoiditis, infektiöse
Portuguese Tireoidite Infecciosa, Tireoidite Supurativa
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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