Case Report

Acute Bacterial Suppurative Thyroiditis following Fine Needle Aspiration: A Case Report and Review of the Literature

Table 1

Case reports of acute bacterial thyroiditis following FNA in the literature.

AuthorPublished yearCausal organismRisk factorThyroid function status at presentationTime of FNA to presentationManagement

Isenberg [22]1994StaphylococciDiabetes mellitusNot statedNot availableNot available
Wang et al. [14]1997Escherichia coliOn adjuvant chemotherapy for colon cancer and leukopenicEuthyroid3 monthsSemiemergent thyroidectomy
Sun et al. [9]2001Propionibacterium acnesNo known risk factorsNot statedNot statedPus aspiration 3 times and antibiotics for 28 days
Nishihara et al. [21]2005Staphylococcus aureusSevere atopic dermatitisThyrotoxic4 daysAntibiotics for 1 month followed by resection of the affected thyroid lobe due to persistent fever, raised inflammatory markers, and leukocytosis
Chen et al. [18]2005SterilePapillary thyroid cancer (PTC)EuthyroidWithin a weekParenteral antibiotics for 2 weeks followed by total thyroidectomy for PTC
Halenka et al. [17]2008Escherichia coliNo known risk factorsEuthyroid3 daysDrainage of abscess with parenteral antibiotics followed by total thyroidectomy
Yildar et al. [20]2014Methicillin-sensitive Staphylococcus aureusDiabetes mellitusThyrotoxic on the 7th day of treatment(Increased uptake in the thyroid gland surrounding the abscess in thyroid scintigraphy)
etiology of hyperthyroidism was not discussed in the article
15 daysNeedle aspiration of abscess 3 times and parenteral antibiotics for 14 days followed by oral antibiotics.
Drainage with a 6F pigtail catheter on the 12th day after the end of parenteral antibiotics, due to further enlargement of the nodule. In view of sterile culture, no antibiotics were given at the time of catheter drainage
Unluturk U et al. [15]2014SterileNo known risk factorsNot stated3 daysEmpirical antibiotics for 10 days
Tartaglia et al. [16]2017Not donePsoriasis on methotrexateEuthyroid10 daysParenteral empiric antibiotics (ceftazidime and teicoplanin) for 11 days followed by oral amoxicillin/clavlanic acid and levofloxacin for 10 days
Ar et al. [19]2018StaphylococciNo known risk factorsThyrotoxic3 weeksParenteral antibiotics, open drainage of the abscess, and excision of the cyst wall and right lobe of the thyroid on the 2nd day of admission due to failed aspiration and persistent fever in spite of antibiotic therapy