Acute suppurative thyroiditis in a 10-year-old child

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Abstract

BACKGROUND: Acute suppurative thyroiditis in children is a rare and potentially life-threatening thyroid disease that requires rapid diagnostics and treatment.

CLINICAL CASE DESCRIPTION: A clinical case of a 10-year-old girl with a thyroid abscess is described. She had fever, painful neck swelling, sore throat, tachycardia, restricted neck movement, and dysphagia for 6–7 days. The treatment consisted of antibiotic therapy, incision and drainage of the abscess using local ozone therapy. It was found that causative agents were Staphylococcus aureus and Escherichia coli. The girl had a follow-up examination in 9 months after the discharge — there were no signs of thyroid pathology.

CONCLUSION: Although acute suppurative thyroiditis is extremely rare in children, it occurs sometimes. Since this condition may be associated with a piriform sinus fistula, the child must be examined for it because of the risk of recurrence.

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About the authors

Andrey V. Pisklakov

Omsk State Medical University

Author for correspondence.
Email: pisklakovomsk@mail.ru
ORCID iD: 0000-0001-7594-7723
SPIN-code: 8579-9842

MD, Dr. Sci. (Medicine), Professor

Россия, Omsk

Vjacheslav I. Ponomarev

Omsk State Medical University

Email: pvikust@yandex.ru
ORCID iD: 0000-0002-2555-7994
SPIN-code: 6157-7334

MD, Dr. Sci. (Medicine), Professor

Россия, Omsk

Aset T. Isakov

Regional Children’s Clinical Hospital, Omsk

Email: astis@mail.ru
ORCID iD: 0009-0009-0936-5325
Россия, Omsk

Igor’ I. Larkin

Omsk State Medical University

Email: larkinomsk@mail.ru
ORCID iD: 0000-0002-9872-9881
SPIN-code: 1099-9439

MD, Dr. Sci. (Medicine), Professor

Россия, Omsk

Valery I. Larkin

Omsk State Medical University

Email: larkin_valery@mail.ru
ORCID iD: 0000-0002-6856-5062
SPIN-code: 1853-5643

MD, Dr. Sci. (Medicine)

Россия, Omsk

Alexey G. Kalinichev

Omsk State Medical University

Email: akalinichev59@gmail.com
ORCID iD: 0000-0002-2534-6329
SPIN-code: 3814-3364

MD, Dr. Sci. (Medicine), Professor

Россия, Omsk

Anatoly V. Lysov

Omsk State Medical University

Email: prof_lysov@mail.ru
ORCID iD: 0000-0002-2874-6686
SPIN-code: 1047-1496

MD, Dr. Sci. (Medicine), Professor

Россия, Omsk

References

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Supplementary files

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2. Fig. 1. Appearance of the neck of the child with acute purulent thyroiditis and neck phlegmon.

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3. Fig. 2. Ultrasound examination of the thyroid gland. Abscess area is indicated by an arrow.

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4. Fig. 3. Magnetic resonance imaging of the neck before surgery. The abscess is indicated by an arrow.

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Copyright (c) 2023 Pisklakov A.V., Ponomarev V.I., Isakov A.T., Larkin I.I., Larkin V.I., Kalinichev A.G., Lysov A.V.

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