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September 9, 1974

Acute Suppurative Thyroiditis Caused by Bacteroides melaninogenicus

Author Affiliations

From the departments of pediatrics, New Jersey Medical School and the Children's Hospital of Newark, Newark, NJ.

JAMA. 1974;229(11):1470. doi:10.1001/jama.1974.03230490058027

ACUTE suppurative thyroiditis is rare in children. We report here the first case, to our knowledge, caused by Bacteroides melaninogenicus.

Report of a Case  A 2-year-old boy was admitted to Children's Hospital of Newark for sore throat, fever, swelling in the neck, and dysphagia of 24-hours' duration. Four weeks before admission, the child had had fever, accompanied by cough. He had been treated with antibiotics and a cough mixture. On the day before admission, swelling in the neck was noticed, and dysphagia followed.The medical history was normal, and birth, growth, and development had been normal. Temperature was 102.4 F (39.1 C); pulse rate, 160 beats per minute; blood pressure, 94/60 mm Hg; and respiratory rate, 32/min. There was a diffuse swelling in the anterior midcervical region that measured 8 cm at the greatest diameter (from right to left sternocleidomastoid muscles). The mass was tender, moveable with swallowing, and nonfluctuant.