• Clinical endocrinology · Apr 1998

    Case Reports

    The tender neck: thyroiditis or thyroid abscess?

    • D J Houghton, H W Gray, and K MacKenzie.
    • Department of Otolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary University NHS Trust, UK.
    • Clin. Endocrinol. (Oxf). 1998 Apr 1;48(4):521-4.

    AbstractFollowing apparent subacute thyroiditis, a 16-year-old girl developed a left thyroid abscess thought to be secondary to steroids and haematogenous spread from a pilonidal abscess. The thyroid suppuration became recurrent and required partial thyroidectomy. Further left-sided abscess formation in the neck prompted a barium swallow which revealed the source of infection to be a sinus tract arising from the left piriform fossa. The patent fourth branchial sinus tract was later excised. All patients with a tender thyroid should have ultrasound-guided fine needle aspiration to establish the diagnosis. If suppuration is confirmed, a barium swallow is advised to exclude a sinus tract from the piriform fossa.

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