open access

Ahead of print
Clinical vignette
Published online: 2021-03-31
Submitted: 2021-02-24
Accepted: 2021-03-01
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Thyroid Abscess as a Complication of Percutaneous Ethanol Ablation of Cystic Thyroid Nodules

Francesk Mulita, Levan Tchabashvili, Georgios-Ioannis Verras, Elias Liolis, Stamatia Siouti, Konstantinos Panagopoulos, Michail Vailas
DOI: 10.5603/EP.a2021.0032
·
Pubmed: 34010446

open access

Ahead of print
Clinical Vignette
Published online: 2021-03-31
Submitted: 2021-02-24
Accepted: 2021-03-01

Abstract

Thyroid abscess is a very uncommon infectious pathology with a dramatic clinical course. They usually develop in a multinodular goiter. Iatrogenic infection is very rare. This report describes an abscess developing after percutaneous ethanol ablation of a 6-cm cystic thyroid nodule. The infectious agent was Staphylococcus aureus, which is a typical skin pathogen. Abscess aspiration had been unsuccessful and the patient underwent subtotal thyroidectomy. The case underlines the necessity of aggressive management of this rare condition.

Abstract

Thyroid abscess is a very uncommon infectious pathology with a dramatic clinical course. They usually develop in a multinodular goiter. Iatrogenic infection is very rare. This report describes an abscess developing after percutaneous ethanol ablation of a 6-cm cystic thyroid nodule. The infectious agent was Staphylococcus aureus, which is a typical skin pathogen. Abscess aspiration had been unsuccessful and the patient underwent subtotal thyroidectomy. The case underlines the necessity of aggressive management of this rare condition.

Get Citation

Keywords

Thyroid abscess; ethanol ablation; thyroidectomy; thyroid nodule

About this article
Title

Thyroid Abscess as a Complication of Percutaneous Ethanol Ablation of Cystic Thyroid Nodules

Journal

Endokrynologia Polska

Issue

Ahead of print

Article type

Clinical vignette

Published online

2021-03-31

DOI

10.5603/EP.a2021.0032

Pubmed

34010446

Keywords

Thyroid abscess
ethanol ablation
thyroidectomy
thyroid nodule

Authors

Francesk Mulita
Levan Tchabashvili
Georgios-Ioannis Verras
Elias Liolis
Stamatia Siouti
Konstantinos Panagopoulos
Michail Vailas

References (6)
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  2. Gharib H, Papini E, Garber JR, et al. AACE/ACE/AME Task Force on Thyroid Nodules. American Association of Clinical Endocrinologists, American College Of Endocrinology, And Associazione Medici Endocrinologi medical guidelines for clinical practice for the diagnosis and management of thyroid nodules — 2016 update. Endocr Pract. 2016; 22(5): 622–639.
  3. Pearce EN, Farwell AP, Braverman LE. Thyroiditis. [published correction appears in N Engl J Med. 2003 Aug 7;349(6):620]. N Engl J Med. 2003; 348(26): 2646–2655.
  4. Cawich SO, Hassranah D, Naraynsingh V. Idiopathic thyroid abscess. Int J Surg Case Rep. 2014; 5(8): 484–486.
  5. Paes JE, Burman KD, Cohen J, et al. Acute bacterial suppurative thyroiditis: a clinical review and expert opinion. Thyroid. 2010; 20(3): 247–255.
  6. Yedla N, Pirela D, Manzano A, et al. Thyroid Abscess: Challenges in Diagnosis and Management. J Investig Med High Impact Case Rep. 2018; 6: 2324709618778709.

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