Suppurative Acinetobacter baumanii thyroiditis with bacteremic pneumonia: case report and review.
Suppurative thyroiditis is rare, and the major pathogens are Staphylococcus and Streptococcus species. We present a case caused by Acinetobacter baumanii, which has never before been reported. We review another 191 cases from the English-language literature (1980 to April 1997) and make a comparison with a review of 224 cases (1900-1980). As the numbers of immunocompromised patients increase, cases of suppurative thyroiditis are increasing. Pneumocystis carinii has become an important pathogen. Most patients (83.1%) with bacterial infections were euthyroid, whereas those with fungal or mycobacterial infections tended to be hypothyroid (62.5%) and hyperthyroid (50%), respectively.
Yu
E H
EH
Division of Endocrinology and Metabolism, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China.
Ko
W C
WC
Chuang
Y C
YC
Wu
T J
TJ
D000150:Acinetobacter / Q000302:isolation & purification; D000151:Acinetobacter Infections / Q000453:epidemiology / Q000382:microbiology; D017677:Age Distribution; D000368:Aged; D016470:Bacteremia / Q000150:complications* / Q000453:epidemiology / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000382:microbiology; D017678:Sex Distribution; D013960:Thyroid Function Tests; D013969:Thyroiditis, Suppurative / Q000150:complications* / Q000453:epidemiology / Q000382:microbiology