Acute suppurative thyroiditis caused by Salmonella typhimurium: a case report and review of the literature.
A 79-year-old woman with acute suppurative Salmonella thyroiditis is reported. She presented with fever and an enlarged, painful thyroid mass. Diagnosis was suspected by clinical symptoms and signs and confirmed by ultrasound, neck magnetic resonance imaging, aspiration cytology, and culture. The culture of fine-needle aspirate yielded Salmonella typhimurium. She was treated by parental antibiotics and surgical drainage. The source and route of infection remained unclear under a series of examinations. No piriform sinus fistula was evident on the imaging study. A hematogenous spread seems to be the most possible route.
Su
Deng-Huang
DH
Department of Internal Medicine, College of Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan.
Huang
Tien-Shang
TS
D000208:Acute Disease; D000368:Aged; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012480:Salmonella Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D012486:Salmonella typhimurium; D013969:Thyroiditis, Suppurative / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D014463:Ultrasonography