title: [Acute suppurative thyroiditis and Klebsiella pneumoniae sepsis. A case report and review of the literature].
abstract: The acute suppurative thyroiditis is a rare infection. It affects specially patients with preexisting thyroid gland pathology and its frequency is higher in women. In childhood it's linked to local anatomic defects. The infection used to be located in left thyroid lobe and it's much less usual in right lobe, in both or in isthmus. The most important causal microorganisms are staphylococci (Staphylococcus aureus overcoat) and streptococci (usually Streptococcus pyogenes and Streptococcus pneumoniae), with frequent isolation of mixed flora and anaerobes in the last reported cases. We present the case of a male patient, without previous thyroid disease, who suffered an acute suppurative thyroiditis and Sepsis due to Klebsiella pneumoniae, with right lobe abscess and secondary septic focus formation (kidneys, spleen, lungs), with fatal course despite of medical treatment, favoured or precipitated by the development of serious alcoholic abstinence.
authors.affiliation: Servicio de Medicina Interna, Hospital Civil de Bilbao.
authors.forename: M P
authors.initials: MP
authors.lastname: Echevarría Villegas
authors.forename: R
authors.initials: R
authors.lastname: Franco Vicario
authors.forename: D
authors.initials: D
authors.lastname: Solano López
authors.forename: R
authors.initials: R
authors.lastname: Landín Vicuña
authors.forename: R
authors.initials: R
authors.lastname: Teira Cobo
authors.forename: F
authors.initials: F
authors.lastname: Miguel de la Villa
mesh_terms: D000038:Abscess / Q000382:microbiology / Q000473:pathology*; D000208:Acute Disease; D006801:Humans; D007710:Klebsiella Infections / Q000382:microbiology / Q000473:pathology*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D013961:Thyroid Gland / Q000473:pathology; D013969:Thyroiditis, Suppurative / Q000382:microbiology / Q000473:pathology*
vernacular_title: Tiroiditis aguda supurada y sepsis por Klebsiella pneumoniae. Presentación de un caso y revisión de la literatura.