Nonsurgical management of thyroid abscess with sonographically guided fine needle aspiration.
Treatment of thyroid abscess commonly includes the surgical drainage along with systemic antibiotic therapy. Alternatives for open surgical intervention may be the conservative management with use needle aspiration or catheter drainage. We report here two cases of thyroid abscess treatment with 21-gauge needle aspiration under ultrasound guidance. In each case needle drainage was performed twice, at the 1st and 5th day of admission. Antibiotics were administered in pills and injected into the abscess cavity followed the pus aspiration and lavage. Both patients were cured. Follow-up has not revealed recurrence during 6 month and 5 years.
Ilyin
Alexey
A
Medical Radiological Research Center, 4 Korolev str., Obninsk, Kaluga reg., Russian Federation, 249036.
Zhelonkina
Natalia
N
Severskaya
Natalia
N
Romanko
Svetlana
S
D000038:Abscess / Q000628:therapy*; D000284:Administration, Oral; D000328:Adult; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle / Q000379:methods*; D002710:Chlorhexidine / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015552:Injections, Intralesional; D008875:Middle Aged; D019152:Paracentesis / Q000379:methods; D007507:Therapeutic Irrigation / Q000379:methods; D013959:Thyroid Diseases / Q000628:therapy*; D018084:Ultrasonography, Interventional
D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D019980:Amoxicillin-Potassium Clavulanate Combination; C010882:chlorhexidine gluconate; D002710:Chlorhexidine