title: Actinomycotic suppurative thyroiditis in a child.
abstract: OBJECTIVE
  To present a rare case of actinomycotic suppurative thyroiditis in an infant with provision of the etiology, pathogenesis, clinical findings and treatment of this rare disease.
  
  
  METHODS
  A report of an 18-month-old female infant who presented with fever, erythema, induration and tenderness of the neck. The patient had the diagnosis of acute suppurative thyroiditis after a series of laboratory evaluation.
  
  
  RESULTS
  She was treated successfully with surgical debridement and intravenous penicillin G.
  
  
  CONCLUSIONS
  Although rare, Actinomyces spp. should be considered in the etiology of acute suppurative thyroiditis. Because of its fastidious nature the probability of positive culture is low, thus, the microbiology laboratory should be called in advance to make preparations before culture and transport.
authors.affiliation: Clinic of Pediatrics, Haydarpasa Numune Education and Research Hospital, Uskudar, Istanbul, Turkey.
authors.forename: Nihal
authors.initials: N
authors.lastname: Karatoprak
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Atay
authors.forename: Nurdan
authors.initials: N
authors.lastname: Erol
authors.forename: Sevil Bilir
authors.initials: SB
authors.lastname: Goksugur
authors.forename: Omer
authors.initials: O
authors.lastname: Ceran
mesh_terms: D000190:Actinomyces / Q000187:drug effects / Q000302:isolation & purification; D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D003646:Debridement; D004890:Erythema / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005334:Fever / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007223:Infant; D010400:Penicillin G / Q000627:therapeutic use; D013960:Thyroid Function Tests; D013961:Thyroid Gland / Q000473:pathology / Q000503:physiopathology; D013969:Thyroiditis, Suppurative / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D010400:Penicillin G