J Korean Soc Endocrinol.  2004 Feb;19(1):69-75.

A Case of Acute Suppurative Thyroiditis Caused by Pyriform Sinus Fistula with Thyrotoxicosis

• Kim KW
• Park YJ
• Kim TY
• Moon MK
• Han SW
• Eun CJ
• Kim YA
• Jin TH
• Chung HS
• Park DJ
• Cho BY

Abstract

This is the first case report about acute suppurative thyroiditis with thyrotoxicosis and pyriform sinus in Korea. A female patient, who was previously healthy, visited our hospital for the treatment of common cold symptoms and neck pain which developed 2 weeks before the visit. The condition of the patient did not improve through the use of antipyretics and even worsened. The patient was admitted to the hospital and was diagnosed with acute suppurative thyroiditis. The culture result of the drained fluid revealed group D Streptococcus. The patients condition was improved after using antibiotics and drainage. After recovery from acute thyroiditis, esophagography was performed and the pyriform sinus was found to be obliterated by chemical cauterization. It is very important yet difficult to differentiate acute thyroiditis with thyrotoxicosis from subacute thyroiditis. In this study, we discussed the differential diagnosis between acute thyroiditis and subacute thyroiditis with a review of literature.

MeSH Terms

Anti-Bacterial Agents
Antipyretics
Cautery
Common Cold
Diagnosis, Differential
Drainage
Female
Fistula*
Humans
Korea
Neck Pain
Pyriform Sinus*
Streptococcus
Thyroid Gland
Thyroiditis
Thyroiditis, Subacute
Thyroiditis, Suppurative*
Thyrotoxicosis*
Anti-Bacterial Agents
Antipyretics