2008
DOI: 10.1136/pgmj.2008.067850
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Acute thyroiditis due to septic emboli derived from infective endocarditis

Abstract: Acute infectious thyroiditis is a rare condition of the thyroid gland, most often arising in children with congenital conditions connecting the thyroid directly to the oropharynx, such as a piriform fistula or thyroglossal duct. We report a case of acute thyroiditis due to septic emboli derived from infective endocarditis.

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Cited by 20 publications
(14 citation statements)
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“…Acute suppurative thyroiditis is a rare condition with two‐thirds of the cases being related to structural abnormalities . Other causes include direct trauma, extension from adjacent structures, and spread via hematogenous or lymphatic pathways from distant sources . The onset of the acute suppurative thyroiditis is usually sudden and can lead to thyroid abscess formation .…”
Section: Discussionmentioning
confidence: 99%
“…Acute suppurative thyroiditis is a rare condition with two‐thirds of the cases being related to structural abnormalities . Other causes include direct trauma, extension from adjacent structures, and spread via hematogenous or lymphatic pathways from distant sources . The onset of the acute suppurative thyroiditis is usually sudden and can lead to thyroid abscess formation .…”
Section: Discussionmentioning
confidence: 99%
“…AST has been correlated with the presence of pre-existing piriform sinus fistula or thyroglossal duct remnant, following injury of the neck and fine needle aspiration cytology or due to septic emboli derived from infective endocarditis [10]. …”
Section: Discussionmentioning
confidence: 99%
“…AST may occur in a cystic or degenerated nodule within the thyroid gland [3], but the presence of a causal relationship between adenomatous goiter and AST is unclear. To the best of our knowledge, only three cases of AST in patients with preexisting multinodular goiter, which was also observed in our patient, have been reported in the past 30 years according to the PubMed database [4][5][6]. These patients were immunocompetent and did not appear to have a pyriform fistula.…”
Section: Discussionmentioning
confidence: 53%
“…These patients were immunocompetent and did not appear to have a pyriform fistula. Notably, two of these three patients developed AST due to hematogenous spread of pathogenic microbes; one developed AST due to an E. coli urinary tract infection [4], and the other developed staphylococcal AST due to septic emboli derived from infective endocarditis [5]. Meanwhile, another patient developed AST following FNAB [6].…”
Section: Discussionmentioning
confidence: 99%