@entity8963 is a @entity74 , most often arising in @entity1 with congenital conditions connecting the thyroid directly to the oropharynx, such as a piriform @entity292 or thyroglossal duct. Accordingly, the most common causative agents are those which can colonize the oral mucosa and spread to the thyroid contiguously, such as Streptococcus species, Staphylococcus species and anerobes. In adults, a hematogenous spread to a pre-existing altered thyroid gland is often the postulated pathogenetic mechanism, and it is exceedingly rare in the United States. We report the case of an 81-yr-old @entity1 with @entity8963 secondary to @entity526 (E. coli) @entity281 . The @entity1 presented with fevers, chills, @entity3833 and recent @entity4048 . Thyroid ultrasound and neck computed tomography revealed a @entity1376 and an intra-thyroid abscess. An otolaryngology evaluation and barium swallow failed to show a piriform @entity292 . Thyroid hormone levels were consistent with @entity1378 . Urine cultures were positive for @entity526 . The @entity1 subsequently developed a clinical picture consistent with severe @entity2743 , which rapidly resolved after medical treatment, appropriate antibiotics and surgical drainage of the thyroid. Abscess material also grew @entity526 . Thus, @entity8963 secondary to sepsis can complicate an otherwise asymptomatic @entity1376 and should be promptly treated with broad-spectrum antibiotics and/or surgical drainage to avoid serious consequences, including severe @entity2743 .

A case of @entity8963 complicated by XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'woman', 'patient'] @entity2743 :: ('MESH:D006111', 'Disease') :: ['thyrotoxicosis'] @entity8963 :: ('MESH:D013969', 'Disease') :: ['Acute suppurative thyroiditis', 'acute suppurative thyroiditis'] @entity1376 :: ('MESH:C564546', 'Disease') :: ['multinodular goiter'] @entity1378 :: ('MESH:D006980', 'Disease') :: ['hyperthyroidism'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity3833 :: ('MESH:D053159', 'Disease') :: ['dysuria'] @entity74 :: ('MESH:D030342', 'Disease') :: ['very uncommon disorder'] @entity4048 :: ('MESH:D019547', 'Disease') :: ['painful neck swelling'] @entity526 :: ('562', 'Species') :: ['Escherichia coli', 'E. coli']
@entity2743 :: (MESH:D006111,Disease) :: ['thyrotoxicosis']
