Acute thyroiditis

From WikiLectures

Acute thyroiditis (suppurative thyroiditis) is currently a relatively rare infectious purulent inflammation of the thyroid gland.

Etiology[edit | edit source]

It is usually caused by a bacterial inflammatory condition in the orofacial area or by septic metastasis in immunocompromised persons, or it may have a tuberculous origin.

The clinical picture[edit | edit source]

  • Local redness above the thyroid gland;
  • palpable pain;
  • fever.

Diagnosis[edit | edit source]

Ultrasound examination of the thyroid gland

The clinical picture is the basis for diagnosis. The laboratory findings include increased sedimentation, leukocytosis, and high CRP. The imaging methods used are: USG and thin needle aspiration biopsy (FNAB).

Therapy[edit | edit source]

Broad-spectrum antibiotics in high doses, but best targeted after culture examination.

References[edit | edit source]

Related Articles[edit | edit source]

References[edit | edit source]

  • ČEŠKA, Richard – ŠTULC, Tomáš, et al. Interna. 2. edition. 2015. 909 pp. ISBN 978-80-7387-895-5.