Lbb. Jeng et al., ACUTE SUPPURATIVE THYROIDITIS - A 10-YEAR REVIEW IN A TAIWANESE HOSPITAL, Scandinavian journal of infectious diseases, 26(3), 1994, pp. 297-300
12 patients with acute suppurative thyroiditis were treated over a 10-
year period. Their ages ranged from 2-81 years. Eight of them had a pr
e-existing thyroid mass. A piriform sinus fistula was demonstrated in
one of the 2 patients with a history of recurrent infections. Cultures
of the pus taken from the infected glands grew Gram-positive streptoc
occi in 4 patients, Gram-negative bacteria in 4, and anaerobic bacteri
a in 1; the other 3 were sterile. Both patients who grew Klebsiella pn
eumonia were diabetic. Most of the patients received drainage in addit
ion to systemic antibiotics. Only 2 patients had recurrence during the
follow-up period. We present a review of our experience with this unc
ommon infection.