Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case

Acute suppurative thyroiditis (AST) is an uncommon condition because thyroid gland is remarkably resistant to infections. In children, anatomic defects such as a left pyriform sinus fistula or a thyroglossal duct remnant predispose to this infection. Once the diagnosis is confirmed by ultrasound or...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Giadrosich R,Vinka, Hernández C,M Isabel, Izquierdo Q,Claudia, Zamora K,Beatriz
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2004
Materias:
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200012
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:scielo:S0034-98872004000200012
record_format dspace
spelling oai:scielo:S0034-988720040002000122005-11-23Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric caseGiadrosich R,VinkaHernández C,M IsabelIzquierdo Q,ClaudiaZamora K,Beatriz Thyroid diseases Thyroiditis, suppurative Ultrasonography Acute suppurative thyroiditis (AST) is an uncommon condition because thyroid gland is remarkably resistant to infections. In children, anatomic defects such as a left pyriform sinus fistula or a thyroglossal duct remnant predispose to this infection. Once the diagnosis is confirmed by ultrasound or computed tomography, antimicrobial therapy based on the culture and Gram staining must be started. After two or three weeks of treatment, predisposing anatomic defects must be sought cautiously. We report a 13 years old girl presenting with cervical pain and fever. A cervical ultrasound showed an enlarged thyroid lobule with hypoecogenic zones that suggested a supurative collection. Cefotaxime and cloxacillin were started. A needle aspiration of the collection obtained a purulent material. The culture of this material yielded a Streptococcus Pneumoniae. The clinical condition of the patient improved and she was discharged in good conditions. Two months later a contrast esophagus X ray did not show predisposing anatomic defects. (Rev Méd Chile 2004; 132: 219-22)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.2 20042004-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200012es10.4067/S0034-98872004000200012
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Thyroid diseases
Thyroiditis, suppurative
Ultrasonography
spellingShingle Thyroid diseases
Thyroiditis, suppurative
Ultrasonography
Giadrosich R,Vinka
Hernández C,M Isabel
Izquierdo Q,Claudia
Zamora K,Beatriz
Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case
description Acute suppurative thyroiditis (AST) is an uncommon condition because thyroid gland is remarkably resistant to infections. In children, anatomic defects such as a left pyriform sinus fistula or a thyroglossal duct remnant predispose to this infection. Once the diagnosis is confirmed by ultrasound or computed tomography, antimicrobial therapy based on the culture and Gram staining must be started. After two or three weeks of treatment, predisposing anatomic defects must be sought cautiously. We report a 13 years old girl presenting with cervical pain and fever. A cervical ultrasound showed an enlarged thyroid lobule with hypoecogenic zones that suggested a supurative collection. Cefotaxime and cloxacillin were started. A needle aspiration of the collection obtained a purulent material. The culture of this material yielded a Streptococcus Pneumoniae. The clinical condition of the patient improved and she was discharged in good conditions. Two months later a contrast esophagus X ray did not show predisposing anatomic defects. (Rev Méd Chile 2004; 132: 219-22)
author Giadrosich R,Vinka
Hernández C,M Isabel
Izquierdo Q,Claudia
Zamora K,Beatriz
author_facet Giadrosich R,Vinka
Hernández C,M Isabel
Izquierdo Q,Claudia
Zamora K,Beatriz
author_sort Giadrosich R,Vinka
title Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case
title_short Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case
title_full Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case
title_fullStr Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case
title_full_unstemmed Tiroiditis aguda supurada en un paciente pediátrico: Report of a pediatric case
title_sort tiroiditis aguda supurada en un paciente pediátrico: report of a pediatric case
publisher Sociedad Médica de Santiago
publishDate 2004
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200012
work_keys_str_mv AT giadrosichrvinka tiroiditisagudasupuradaenunpacientepediatricoreportofapediatriccase
AT hernandezcmisabel tiroiditisagudasupuradaenunpacientepediatricoreportofapediatriccase
AT izquierdoqclaudia tiroiditisagudasupuradaenunpacientepediatricoreportofapediatriccase
AT zamorakbeatriz tiroiditisagudasupuradaenunpacientepediatricoreportofapediatriccase
_version_ 1718436136771125248