title: Thyroid abscess in case of Pre B acute lymphoblastic leukaemia: a rare presentation.
abstract: Thyroid abscess is a very rare clinical condition. It usually occurs in immunocompromised individuals or those with underlying malignancy. We report a case of multiple thyroid abscesses in the patient with Pre B acute lymphoblastic leukaemia which developed secondary to hematogenous spread from pyomyositis of right calf muscle. The patient developed sepsis-associated disseminated intravascular coagulation, which got resolved after thyroidectomy. He became afebrile after surgical intervention. Unfortunately, all the cultures were negative. Since there are few case series and reports, there are no clear guidelines for management of thyroid abscess. We conclude that though rare, thyroid abscess may be the cause of persistent fever in immunocompromised patients.
authors.affiliation: Institute of Hematology and Transfusion Medicine, Medical College Kolkata, Kolkata, West Bengal, India.
authors.forename: Siddhesh Arun
authors.initials: SA
authors.lastname: Kalantri
authors.affiliation: Institute of Hematology and Transfusion Medicine, Medical College Kolkata, Kolkata, West Bengal, India.
authors.forename: Saikat
authors.initials: S
authors.lastname: Datta
authors.affiliation: Department of Surgery, Medical College and Hospital Kolkata, Kolkata, West Bengal, India.
authors.forename: Dhritiman
authors.initials: D
authors.lastname: Maitra
authors.affiliation: Institute of Hematology and Transfusion Medicine, Medical College Kolkata, Kolkata, West Bengal, India.
authors.forename: Maitreyee
authors.initials: M
authors.lastname: Bhattacharyya
mesh_terms: D000038:Abscess / Q000473:pathology*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000971:Antineoplastic Combined Chemotherapy Protocols; D002981:Clindamycin / Q000627:therapeutic use; D004322:Drainage; D005334:Fever / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D000077731:Meropenem; D015452:Precursor B-Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D011239:Prednisolone / Q000627:therapeutic use; D052880:Pyomyositis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D017334:Teicoplanin / Q000627:therapeutic use; D013845:Thienamycins / Q000627:therapeutic use; D013959:Thyroid Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D013961:Thyroid Gland / Q000473:pathology*; D013965:Thyroidectomy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D002981:Clindamycin; D017334:Teicoplanin; D011239:Prednisolone; D000077731:Meropenem