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...
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Sociedad Médica de Santiago
2004
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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 |