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Choi, Ahn, Lee, Kim, Lim, Kim, Kim, Lee, Park, and Cho: A Case of Acute Suppurative Thyroiditis in a Patient with Leukemia Who was Treated with Chemotherapy
Case Report
Journal of Korean Endocrine Society

Journal of Korean Endocrine Society 2009; 24(1): 38-41.

Published online: 31 March 2009

DOI: https://doi.org/10.3803/jkes.2009.24.1.38

A Case of Acute Suppurative Thyroiditis in a Patient with Leukemia Who was Treated with Chemotherapy

Hoon Sung Choi, Hwa Young Ahn, Jae Seok Lee, Hyosang Kim, Jung Ah Lim, Tae Hyuk Kim, Minjoo Kim, Yenna Lee, Do Jun Park, Bo Youn Cho

Department of Internal Medicine, Seoul National University College of Medicine, Korea.

Received 21 August 2008       Accepted 19 October 2008

Copyright © 2009 Korean Endocrine Society

Abstract

Acute suppurative thyroiditis (AST) is a rare disease of the thyroid gland that results from anatomical abnormalities, such as pyriform sinus fistula. However, in some case reports, patients with AST did not have anatomical abnormalities, including a report in which children with acute leukemia developed AST after chemotherapy. We report a case of AST in an adult with a hematologic disorder treated with chemotherapy. Although he was initially treated with parenteral antibiotics, surgical intervention was performed due to progressive worsening of AST. He recovered after surgical intervention and had no anatomical abnormality.

Keywords: acute suppurative thyroiditis, chemotherapy, hematologic disorder

Figures and Tables

Fig. 1
There is a 2.3 × 2.1 cm sized cystic mass lesion with decreased enhancement in right thyroid gland. In left thyroid gland, two small cystic lesions under 0.5 cm are observed. There is no significant lymphadenopathy in cervical lymph nodes. These finding are compatible with abscess on thyroid gland.
jkes-24-38-g001
Fig. 2
Microscopy of the excised right lobe displays chronic active inflammation with abscess formation and adenomatous goiter (H&E stain, ×100).
jkes-24-38-g002

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