Acute Suppurative Salmonella Thyroiditis in a Patient With Graves Disease and Fluoroquinole Resistance

Abstract

A 31-year-old woman with a history of hyperthyroidism presented with acute swelling of the goiter. Subsequent thyroid aspirate grew fluoroquinolone-resistant Salmonella enterica serotype choleraesuis. The patient was treated with parental antibiotics and surgical drainage. No evidence of a pyriform sinus fistula was found. The source and route of infection remained unidentified. Infections of the thyroid are rare but potentially life-threatening. Salmonella-induced suppurative thyroiditis is very rare. We report this unusual case of acute suppurative thyroiditis caused by S choleraesuis in an immunocompetent middle-aged woman with a history of hyperthyroidism.

A pain in the neck: Salmonella spp. as an unusual cause of a thyroid abscess. A case report and review of the literature

“…Blood workup includes complete blood count, inflammatory markers like CRP and erythrocyte sedimentation rate (ESR), and thyroid function tests such as TSH, T3 and Treatment for AST could be medical or surgical depending on the presentation. For conservative treatment, a trial of aspiration and antibiotic administration is a reasonable initial step [1,10,14,31,42]. Similar to the case reported by Vengathajalam et al, serial aspiration and antibiotic treatment resulted in complete recovery [10].…”