A 7-year-old girl had a sore throat and fever. She had a large, firm, and tender anterior mass extending from the midline to the left lateral part of the neck. Abnormal laboratory findings included an elevated WBC count and an increased ESR. Results of thyroid function studies were within normal limits.
Denouement and Discussion
Acute Suppurative Thyroiditis
The radionuclide scintigram showed a focal abnormality in the superior aspect of the left lobe of the thyroid, as well as thyroid displacement. A large complex echogenic mass was delineated by ultrasound. The lesion, extending from the midline to the left side of the neck, was anterior to the trachea. The trachea was displaced to the right. The child underwent surgical drainage of the abscess, from which coagulase-positive Staphylococcus was isolated. Recovery was prompt after drainage and intravenous antibiotic therapy.Acute suppurative thyroiditis is uncommon in children. Fewer than 20 cases of this disease have been reported in the
Wojtowycz M, Duck SD, Lipton M, Sty J, Young LW. Radiological Case of the Month. Am J Dis Child. 1981;135(11):1063-1064. doi:10.1001/archpedi.1981.02130350063019