The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(2):242-245.
증례 :갑상선중독증이 동반된 급성 화농성 갑상선염 1예
유찬희.김예나.손창배.박은호.최영식.박요한.김정훈, , , , , ,
A case of acute suppurative thyroiditis with thyrotoxicosis
Chan-Hee Yoo, Ye-Na Kim, Chang-Bae Shon, Eun-Ho Park, Young-Sik Choi, Yo-Han Park, Jung-Hun Kim
경희대학교 의과대학 순환기내과학교실


Abstract
Acute suppurative thryroiditis is a rare disease because the thyroid gland is resistant to infection. Thyroid function tests are usually normal in acute suppurative thryroiditis. We care for a patient with acute suppurative thryroiditis and associated thyrotoxicosis. A 73-year-old diabetic woman presented with pain over the thyroid gland and an elevated serum thyroid hormone level and decreased radioiodine uptake, as occurs in subacute thyroiditis. A neck computed tomography showed an abscess in the right lobe of the thyroid gland. A neutrophilic infiltration was shown in a fine needle aspiration biopsy, and Gram negative Burkholderia gladioli grew from the aspirate culture. Antibiotic treatment ameliorated the symptoms of infection, followed by normalization of thyroid function. (Korean J Med 75:242-245, 2008) Key Words: Acute suppurative thryroiditis, Thyrotoxicosis, Burkholderia gladioli

Keywords : Acute suppurative thryroiditis, Thyrotoxicosis, Burkholderia gladioli
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