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Case Reports: Rare disease
Thyroid pyocele with systemic sepsis: a rare clinical scenario
  1. Surya Prakash Dorasala Ramanna,
  2. Chandrakiran Channegowda,
  3. Shabna Lakshmi Shanmugananthan and
  4. Milu Sajith
  1. Otorhinolaryngology, MS Ramaiah Medical College, Bangalore, Karnataka, India
  1. Correspondence to Dr Surya Prakash Dorasala Ramanna; drdrsuryaprakash{at}gmail.com

Abstract

A late middle-aged woman presented with a large, painful neck mass, with a history of rapid increase of size since 1 week and associated voice change, dyspnoea and odynophagia. Prior radiological investigation showed a multiloculated cystic mass in the left thyroid lobe. Fine needle aspiration revealed a predominant cluster of neutrophils. Blood investigations showed leucocytosis and high blood glucose levels suggestive of sepsis. The patient underwent surgical drainage of the thyroid abscess with total thyroidectomy which was managed through multidisciplinary teamwork between surgeons, haematologists, endocrinologists and anaesthesiologists. In addition, urine culture and thyroid pus culture both showed Escherichia coli growth suggestive of bacterial sepsis. The patient was treated successfully and made a complete recovery following surgery with normalisation of voice.

  • Thyroid disease
  • Head and neck surgery
  • Otolaryngology / ENT

https://doi.org/10.1136/bcr-2023-254834

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    Footnotes

    • X @dr_surya1980@DrSurya1980

    • Contributors SPDR—planning, conduct and conception and postoperative follow-up. CC—planning, conduct and conception. SLS—design, acquisition of data and writing the case report. MS—design, acquisition of data and PubMed search. All the authors contributed to the final version of the manuscript. The following authors gave final approval of the manuscript—SPDR, CC, SLS and MS.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.