Endocrinology Book

Thyroid Disease

http://www.fpnotebook.com/

Suppurative Thyroiditis

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  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
    2. Fukata (2002) {a 3484} 12:175

Thyroiditis, Suppurative (C0040150)

Definition (MSH)Acute inflammatory disease of the THYROID GLAND due to infections by BACTERIA; FUNGI; PROTOZOA; or other microorganisms. Symptoms include tender swelling, FEVER, and often with LEUKOCYTOSIS.
ConceptsDisease or Syndrome (T047)
ICD9245.0
MSHD013969
EnglishAcute Infectious Thyroiditides, Acute Infectious Thyroiditis, Acute Suppurative Thyroiditides, Acute suppurative thyroiditis, INFECT THYROIDITIS, Infectious Thyroiditides, Infectious thyroiditis, Suppurative Thyroiditides, Suppurative thyroiditis, THYROIDITIS ACUTE PYOGENIC, THYROIDITIS INFECT
Spanishtiroiditis infecciosa, tiroiditis supurativa aguda
Parent ConceptsSuppuration (C0038862), Thyroiditis (C0040147), Acute thyroiditis NOS (C0001360), Bacterial Infections (C0004623), Thyroiditis, Suppurative (C0040150), Thyroid infection (C0729776)
SourcesDXP, MSH, MTHICD9, NDFRT, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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