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October 1983

Eikenella corrodens as a Cause of Thyroid Abscess

Author Affiliations

From the Sections of Infectious Diseases (Drs Vichyanond and Olson) and Endocrinology (Dr Howard), Department of Pediatrics, The Children's Mercy Hospital and the University of Missouri School of Medicine, Kansas City.

Am J Dis Child. 1983;137(10):971-973. doi:10.1001/archpedi.1983.02140360035012

• Acute suppurative thyroiditis in children is rarely reported. It is generally associated with upper respiratory tract infections and is manifest as an acute febrile illness with swelling of the thyroid gland. Diagnosis is established by aspiration of the affected area, and cultures for both aerobic and anaerobic bacteria should be carried out. Therapy is based on drainage of the abscess and treatment with specific antimicrobial drugs, as determined by culture results. We describe a 3½-year-old girl with a thyroid abscess from whom Eikenella corrodens, in addition to mixed flora, was recovered. No disturbance in thyroid function was observed. We review the pathogenesis of acute bacterial infections of the thyroid gland and the literature regarding the specific cause of these infections.

(Am J Dis Child 1983;137:971-973)