Recurrent acute suppurative thyroiditis in a child: case report.
A 23-month-old girl presented with a history of persistent fever and growing left anterior neck mass following an upper respiratory tract infection. Laboratory studies revealed leukocytosis, elevated levels of the erythrocyte sedimentation rate and C-reactive protein, and a mild impairment of thyroid function. Thyroid scan showed a decreased radioactive iodine uptake of the left thyroid gland. Culture of the thyroid aspirate grew the mixed flora, viridans streptococci, Prevotella spp, and Peptostreptococcus magnus. She was discharged after a surgical drainage and a 14-day course of penicillin-G therapy. Unfortunately, she was readmitted for the resembling problems, the fever and progressing left anterior neck mass 3 months later. Culture of thyroid aspirate also grew the viridans streptococci. She recovered after a 14-day course of penicillin-G therapy. A left pyriform sinus fistula was found by barium esophagogram. A selective operation was performed 8 weeks later.
Hsu
C F
CF
Department of Pediatrics, Tri-Service General Hospital, and National Defense Medical Center, Taipei, Taiwan, ROC.
Wang
C C
CC
Tsai
M C
MC
Huang
C F
CF
Chen
Y H
YH
Chu
M L
ML
D000208:Acute Disease; D005260:Female; D005402:Fistula / Q000150:complications*; D006801:Humans; D007223:Infant; D012008:Recurrence; D013959:Thyroid Diseases / Q000150:complications*; D013969:Thyroiditis, Suppurative / Q000209:etiology*