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KMID : 0882420080750020242
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Korean Journal of Medicine
2008 Volume.75 No. 2 p.242 ~ p.245
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A case of acute suppurative thyroiditis with thyrotoxicosis
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Yoo Chan-Hui
Kim Ye-Na
Sohn Chang-Bae
Park Eun-Ho
Choi Young-Sik
Park Yo-Han
Kim Jeong-Hun
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Abstract
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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)
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KEYWORD
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Acute suppurative thryroiditis, Thyrotoxicosis, Burkholderia gladioli
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