Thyroid imaging in a typical case of acute suppurative thyroiditis with abscess formation due to infection from a persistent thyroglossal duct

Abstract

The clinical evaluation of thyroid imaging with 99mTc, 201Tl, and 67Ga in the uncommon, but potentially serious, disorder of acute suppurative thyroiditis (AST) with abscess formation due to infection from a persistent thyroglossal duct is reported. The 99mTc image showed functioning areas of the diseased thyroid gland and the 201Tl image demonstrated abscess formation in the thyroid gland of this patient. In addition, marked 67Ga accumulation was demonstrated in a wide area covering not only the area of the thyroid gland involved, but also associated circumferential inflammatory lesions in a patient with AST. The net thyroid uptake of 67Ga at 72 hours was calculated to be 13.8% of the injected dose.

Transient hyperthyroidism due to acute suppurative thyroiditis in an adolescent female

“…A previous report recommended ultrasound-guided fi ne-needle aspiration for evaluation of a focal tender thyroid mass (4) . Thyroid radionuclear imaging can reveal decreased or diminished uptake in the lobe involved (5,13) .…”

Aspiration with or without lavage in the treatment of acute suppurative thyroiditis secondary to pyriform sinus fistula

“…The results suggest that USguided aspiration with or without lavage had a good treatment effect and without adverse events for the management of AST secondary to PSF. AST occurs mainly in patients with anatomical deformities such as PSF or thyroglossal duct cyst (14). AST also occurs occasionally in patients with diseases such as goiter, malignancies (15,16), and immunodeficiency (17), and occurs rarely in patients undergoing fine needle aspiration (8) or with a history of trauma (18,19).…”

The tender neck: thyroiditis or thyroid abscess?

“…Reports in the literature since her initial presentation have shown that thyroid hormone levels can mimic hyperthyroidism in cases of thyroid suppuration with rises of both total and free T4 and suppression of TSH (Kawanaka et al, 1994;Meier & Nagle, 1996). Reports in the literature since her initial presentation have shown that thyroid hormone levels can mimic hyperthyroidism in cases of thyroid suppuration with rises of both total and free T4 and suppression of TSH (Kawanaka et al, 1994;Meier & Nagle, 1996).…”

“…With hindsight, the diagnosis of subacute thyroiditis was wrong. Reports in the literature since her initial presentation have shown that thyroid hormone levels can mimic hyperthyroidism in cases of thyroid suppuration with rises of both total and free T4 and suppression of TSH (Kawanaka et al, 1994;Meier & Nagle, 1996). It has also been reported that steroid administration can relieve pain in both thyroid suppuration and in thyroid cancer (Meier & Nagle, 1996).…”